Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251N0400X | Physical Therapist - Neurology | 29928 | CA |
Y | 2251X0800X | Physical Therapist - Orthopedic | 29928 | CA |
NPI | 1134443757 |
---|---|
Provider Name | Ms. Megan Meduna |
First Address | Santee, CA 92071 |
Second Address | Santee, CA 92071 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2010 |
Last Update Date | 12/10/2020 |