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NPI Code Detail

MEDICARE: MEAGAN CLARK PT

MEDICARE:   MEAGAN  CLARK  PT
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 TherapistPT015869PA

General Provider Information

NPI Number : 1083678841
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEAGAN CLARK PT
Provider Business Mailing Address
First Line : 2775 MOSSIDE BLVD
Second Line :
City : MONROEVILLE
State : PA
Zip : 15146-2760
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2775 MOSSIDE BLVD
Second Line :
City : MONROEVILLE
State : PA
Zip : 15146-2760
Country : US
Telephone Number : 412-357-7706
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 03/26/2021

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Directions to “ MEAGAN CLARK PT” Practice Location

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