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NPI Code Detail

MEDICARE: MEGAN NICOLE OSANITSCH

MEDICARE: MEGAN NICOLE OSANITSCH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist4824NH
2225100000XPhysical TherapistMD

General Provider Information

NPI Number : 1235606690
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN NICOLE OSANITSCH
Provider Business Mailing Address
First Line : 112 ETNA RD
Second Line :
City : LEBANON
State : NH
Zip : 03766-1559
Country : US
Telephone Number : 603-643-7788
Fax Number : 603-643-0022
Provider Business Practice Location Address
First Line : 112 ETNA RD
Second Line :
City : LEBANON
State : NH
Zip : 03766-1559
Country : US
Telephone Number : 603-643-7788
Fax Number : 603-643-0022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2018
Last Update Date : 06/04/2021

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Directions to “ MEGAN NICOLE OSANITSCH ” Practice Location

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