Provider Demographics
NPI:1316101926
Name:ZIPIN, MEGHAN (PT)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:ZIPIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:
Other - Last Name:DELANEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:85 PARK DR
Mailing Address - Street 2:APT 6
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5253
Mailing Address - Country:US
Mailing Address - Phone:617-999-9714
Mailing Address - Fax:
Practice Address - Street 1:85 PARK DR
Practice Address - Street 2:APT 6
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5253
Practice Address - Country:US
Practice Address - Phone:617-999-9714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-13
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34726225100000X
MA17567225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist