Provider Demographics
NPI:1215560818
Name:MEGHAN WALSH PT PLLC
Entity Type:Organization
Organization Name:MEGHAN WALSH PT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:917-676-5963
Mailing Address - Street 1:PO BOX 865
Mailing Address - Street 2:
Mailing Address - City:MONTAUK
Mailing Address - State:NY
Mailing Address - Zip Code:11954-0701
Mailing Address - Country:US
Mailing Address - Phone:917-676-5963
Mailing Address - Fax:
Practice Address - Street 1:38 S ETNA AVE STE B
Practice Address - Street 2:
Practice Address - City:MONTAUK
Practice Address - State:NY
Practice Address - Zip Code:11954-5424
Practice Address - Country:US
Practice Address - Phone:917-676-5963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-21
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy