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Individual

MEGAN FAIN

Active
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Individual

MEGAN FAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
85468622401
UT
225100000X
Physical Therapist
Primary
LPT-31723
AZ
225100000X
Physical Therapist
PT60717261
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPT-31723
AZ PT BOARD
AZ
Enumeration date
06/27/2013
Last updated
04/13/2022
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