Individual
MEGAN DEITRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 CREE DR, LOCK HAVEN, PA 17745-2639
(570) 748-9377
Mailing address
22 CREE DR, LOCK HAVEN, PA 17745-2639
(570) 748-9377
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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