MEDICARE: MEGHAN KATHLEEN SAVANT DPT

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	225100000X	Physical Therapist	P12515	NC

General Provider Information

NPI Number	:	1487985628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN KATHLEEN SAVANT DPT

Provider Business Mailing Address
First Line	:	10965 WINDS CROSSING DR
Second Line	:	SUITE 100
City	:	CHARLOTTE
State	:	NC
Zip	:	28273-2401
Country	:	US
Telephone Number	:	704-504-2194
Fax Number	:	704-504-2197

Provider Business Practice Location Address
First Line	:	10965 WINDS CROSSING DR
Second Line	:	SUITE 100
City	:	CHARLOTTE
State	:	NC
Zip	:	28273-2401
Country	:	US
Telephone Number	:	704-504-2194
Fax Number	:	704-504-2197

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

Provider Enumeration Date	:	01/28/2010
Last Update Date	:	01/28/2010

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