Provider Demographics
NPI:1376796375
Name:SCULLY, MEGEN P
Entity Type:Individual
Prefix:
First Name:MEGEN
Middle Name:P
Last Name:SCULLY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MEGEN
Other - Middle Name:
Other - Last Name:GALANTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:434 GRANT DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17406-2361
Mailing Address - Country:US
Mailing Address - Phone:717-417-3248
Mailing Address - Fax:
Practice Address - Street 1:434 GRANT DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17406-2361
Practice Address - Country:US
Practice Address - Phone:717-417-3248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT012756L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist