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NPI Code Detail

MEDICARE: DR. MEGAN ELIZABETH MANNING PT

MEDICARE: DR. MEGAN ELIZABETH MANNING 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 Therapist20912MD

General Provider Information

NPI Number : 1831287093
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEGAN ELIZABETH MANNING PT
Provider Business Mailing Address
First Line : 1132 ANNAPOLIS RD
Second Line : #101
City : ODENTON
State : MD
Zip : 21113-1647
Country : US
Telephone Number : 410-672-8091
Fax Number :
Provider Business Practice Location Address
First Line : 1132 ANNAPOLIS RD
Second Line : #101
City : ODENTON
State : MD
Zip : 21113-1647
Country : US
Telephone Number : 410-672-8091
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 04/14/2008

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