Individual
MEGAN MARIE VANESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3939 FRANKLIN ST STE 1, MICHIGAN CITY, IN 46360-7984
(219) 214-4060
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015590A
IN
225100000X
Physical Therapist
5501016517
MI
Other
Enumeration date
09/12/2013
Last updated
01/13/2025
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