Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 2139771 | TX |
NPI | 1003395252 |
---|---|
Provider Name | Megan Lohr |
First Address | Palestine, TX 75801-2222 |
Second Address | Palestine, TX 75801-2222 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2018 |
Last Update Date | 08/08/2018 |