Individual
MEGAN FAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1941 W GUADALUPE RD STE 108, MESA, AZ 85202-7483
(480) 491-3563
Mailing address
17233 N HOLMES BLVD STE 1650, PHOENIX, AZ 85053-2031
(602) 547-1836
(602) 547-2806
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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