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Individual

DR. MEGAN NICOLE WISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
32 UNION SQ E STE 402, NEW YORK, NY 10003-3245
(347) 494-1147
(347) 352-9841
Mailing address
1 BLUE SLIP APT 21D, BROOKLYN, NY 11222-6760
(347) 494-1147
(347) 352-9841

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
039623
NY
2251X0800X
Orthopedic Physical Therapist
Primary
039623
NY

Other

Enumeration date
12/04/2015
Last updated
02/26/2025
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