Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 26370 | MD |
NPI | 1396241295 |
---|---|
Provider Name | Dr. Megan Nauman |
First Address | Marriottsville, MD 21104-1102 |
Second Address | Catonsville, MD 21228-1802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2018 |
Last Update Date | 01/04/2018 |