Individual
MEGAN BRIDGET CERTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
377 WESTRIDGE BLVD, GREENWOOD, IN 46142-2137
(317) 888-4948
Mailing address
966 EAST DR, INDIANAPOLIS, IN 46201-1926
(317) 638-3221
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007209A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05007209A
INDIANA PHYSICAL THERAPY LICENSE
IN
Enumeration date
10/21/2008
Last updated
10/21/2008
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