Individual
MRS. MEGAN TEACHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
512 BEACH ST, FENTON, MI 48430-3122
(810) 629-4117
Mailing address
2163 AMY ST, BURTON, MI 48519-1107
(810) 965-4787
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001662
MI
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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