Individual
MRS. MEGAN MARIE BRODWOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
333 NORTH STREET, STE 102, DELPHOS, OH 45833-1070
(419) 692-0095
(419) 692-0097
Mailing address
1880 N. PERRY ST, STE 100, OTTAWA, OH 45875-1164
(419) 523-9003
(419) 523-9143
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT.012139
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2251343
—
OH
Enumeration date
12/15/2008
Last updated
01/04/2011
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