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NPI Code Detail

MEDICARE: MEGAN MCLEES WASHBURN PT, DPT

MEDICARE:   MEGAN MCLEES WASHBURN  PT,  DPT
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 TherapistPT009857GA

General Provider Information

NPI Number : 1538777198
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN MCLEES WASHBURN PT, DPT
Provider Business Mailing Address
First Line : 2448 CHESTNUT LNDG
Second Line :
City : ATLANTA
State : GA
Zip : 30360-2198
Country : US
Telephone Number : 478-787-8601
Fax Number :
Provider Business Practice Location Address
First Line : 2448 CHESTNUT LNDG
Second Line :
City : ATLANTA
State : GA
Zip : 30360-2198
Country : US
Telephone Number : 478-787-8601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2020
Last Update Date : 07/20/2020

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Directions to “ MEGAN MCLEES WASHBURN PT, DPT” Practice Location

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