Individual
MEGAN MELOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 S UNION BLVD STE 255, COLORADO SPRINGS, CO 80910-3126
(719) 305-8000
Mailing address
175 S UNION BLVD STE 255, COLORADO SPRINGS, CO 80910-3126
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
0014963
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014963
PT LICENSE
CO
Enumeration date
09/07/2017
Last updated
09/07/2017
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