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NPI Code Detail

MEDICARE: MEGAN ANN HOUSER PHYSICAL THERAPIST

MEDICARE: MEGAN ANN HOUSER PHYSICAL THERAPIST
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 TherapistPT00009551WA
2225100000XPhysical TherapistPT10386OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295710242
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN ANN HOUSER PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 4770 W 211TH ST
Second Line :
City : FAIRVIEW PARK
State : OH
Zip : 44126-2704
Country : US
Telephone Number : 206-949-5447
Fax Number : 503-443-1402
Provider Business Practice Location Address
First Line : 25757 LORAIN RD
Second Line :
City : NORTH OLMSTED
State : OH
Zip : 44070-3370
Country : US
Telephone Number : 440-471-7570
Fax Number : 440-471-7644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 04/17/2014

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Directions to “ MEGAN ANN HOUSER PHYSICAL THERAPIST” Practice Location

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