Provider Demographics
NPI:1063297869
Name:CLOUSPY, MEGHAN CECELIA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:CECELIA
Last Name:CLOUSPY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 BLAKELY CT APT 263
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4029
Mailing Address - Country:US
Mailing Address - Phone:717-698-5301
Mailing Address - Fax:
Practice Address - Street 1:2440 OSPREY WAY STE C
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-1958
Practice Address - Country:US
Practice Address - Phone:240-223-1722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29635225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist