Provider Demographics
NPI:1366781056
Name:MAURER, MEGAN CHRISTINE
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:CHRISTINE
Last Name:MAURER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 NEWPORT RD
Mailing Address - Street 2:APT A
Mailing Address - City:DUNCANNON
Mailing Address - State:PA
Mailing Address - Zip Code:17020-9619
Mailing Address - Country:US
Mailing Address - Phone:717-275-4604
Mailing Address - Fax:
Practice Address - Street 1:401 NEWPORT RD
Practice Address - Street 2:APT A
Practice Address - City:DUNCANNON
Practice Address - State:PA
Practice Address - Zip Code:17020-9619
Practice Address - Country:US
Practice Address - Phone:717-275-4604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE1003096225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant