Healthcare Provider Details

I. General information

NPI: 1053956680
Provider Name (Legal Business Name): MEGAN APAP DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN WHITE DPT

II. Dates (important events)

Enumeration Date: 11/07/2019
Last Update Date: 03/29/2024
Certification Date: 03/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6405 TELEGRAPH RD STE F1
BLOOMFIELD HILLS MI
48301-1775
US

IV. Provider business mailing address

33900 HARPER AVE STE 104
CLINTON TWP MI
48035-4258
US

V. Phone/Fax

Practice location:
  • Phone: 248-633-2980
  • Fax: 248-633-2981
Mailing address:
  • Phone: 586-350-2644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501019154
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: