Healthcare Provider Details
I. General information
NPI: 1649505454
Provider Name (Legal Business Name): MEGAN D LAPIERRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/13/2009
Last Update Date: 10/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
82 NEW PARK AVE
NORTH FRANKLIN CT
06254-1807
US
IV. Provider business mailing address
82 NEW PARK AVE
NORTH FRANKLIN CT
06254-1807
US
V. Phone/Fax
- Phone: 860-889-7345
- Fax: 860-823-2940
- Phone: 860-889-7345
- Fax: 860-823-2940
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: