Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist |
NPI | 1003223850 |
---|---|
Provider Name | Meghan Cesarz |
First Address | Ashburn, VA 20147-6990 |
Second Address | Charlotte, NC 28210-3102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2014 |
Last Update Date | 30/08/2016 |