Provider Demographics
NPI:1588908438
Name:WARREN, MEGAN LYNN (DPT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LYNN
Last Name:WARREN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2301 HUNTINGDON PIKE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-6130
Mailing Address - Country:US
Mailing Address - Phone:215-947-6262
Mailing Address - Fax:215-947-0212
Practice Address - Street 1:2301 HUNTINGDON PIKE
Practice Address - Street 2:SUITE 100
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-6130
Practice Address - Country:US
Practice Address - Phone:215-947-6262
Practice Address - Fax:215-947-0212
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2014-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAPT 022415225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist