Individual
MEGAN MARIE CISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 E CLEVELAND AVE, VINTON, VA 24179-2540
(540) 855-8213
(276) 293-1212
Mailing address
128 FAYETTE ST, MARTINSVILLE, VA 24112-2620
(276) 352-4465
(276) 293-1212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009904
VA
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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