Individual
MEGAN ATHALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1483 SW BOUGAINVILLEA AVE, PORT SAINT LUCIE, FL 34953-7302
(772) 336-6928
Mailing address
6443 NW FAGAN ST, PORT SAINT LUCIE, FL 34986-3779
(772) 207-6939
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
FL
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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