Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 31337 | FL |
NPI | 1124540935 |
---|---|
Provider Name | Dr. Megan Elizabeth Hock |
First Address | Gulf Breeze, FL 32563-7011 |
Second Address | Navarre, FL 32566-3615 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2017 |
Last Update Date | 13/03/2019 |