Provider Demographics
NPI:1992092522
Name:SIROIS, MEGHAN MURRAY (PT, DPT)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:MURRAY
Last Name:SIROIS
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 1:47 RUSH RD
Mailing Address - Street 2:PO BOX 2038
Mailing Address - City:HENNIKER
Mailing Address - State:NH
Mailing Address - Zip Code:03242-3254
Mailing Address - Country:US
Mailing Address - Phone:603-428-8386
Mailing Address - Fax:
Practice Address - Street 1:47 RUSH RD
Practice Address - Street 2:
Practice Address - City:HENNIKER
Practice Address - State:NH
Practice Address - Zip Code:03242-3254
Practice Address - Country:US
Practice Address - Phone:603-428-8386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-04
Last Update Date:2011-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3618225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist