Individual
MEGAN M SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
200 OKATIE VILLAGE DR, STES 105-106, BLUFFTON, SC 29909-7528
(843) 706-2861
(843) 706-2864
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4603-024
WI
225100000X
Physical Therapist
Primary
8032
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7738
DEAN HEALTH INSURANCE
WI
Enumeration date
01/17/2008
Last updated
01/13/2017
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