MEDICARE: MEGAN ANN PULA LPTA

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
1	225200000X	Physical Therapy Assistant	5502002899	MI

General Provider Information

NPI Number	:	1093515306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN ANN PULA LPTA

Provider Business Mailing Address
First Line	:	500 S SCHOOL RD
Second Line	:
City	:	STERLING
State	:	MI
Zip	:	48659-9799
Country	:	US
Telephone Number	:	989-213-7291
Fax Number	:

Provider Business Practice Location Address
First Line	:	5400 TITTABAWASSEE RD
Second Line	:
City	:	STERLING
State	:	MI
Zip	:	48659-9749
Country	:	US
Telephone Number	:	989-213-7291
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2025
Last Update Date	:	03/17/2025

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