Individual
MEGAN M DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
557 N WASHINGTON ST, JANESVILLE, WI 53548-2907
(608) 754-6000
(608) 755-7892
Mailing address
557 N WASHINGTON ST, JANESVILLE, WI 53548-2907
(608) 754-6000
(608) 755-7892
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1367-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36134800
—
WI
Enumeration date
10/02/2007
Last updated
09/07/2012
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