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NPI Code Detail

MEDICARE: MEGAN ROBISON MPT

MEDICARE: MEGAN ROBISON MPT
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 TherapistGA008596GA
2225100000XPhysical Therapist008596GA

General Provider Information

NPI Number : 1376243311
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN ROBISON MPT
Provider Business Mailing Address
First Line : 335 AUTUMN BREEZE DR
Second Line :
City : ROSWELL
State : GA
Zip : 30075-7165
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1109 GREEN ST
Second Line :
City : ROSWELL
State : GA
Zip : 30075-3609
Country : US
Telephone Number : 770-998-1802
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2023
Last Update Date : 02/23/2024

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