Provider Demographics
NPI:1427570522
Name:MOFFAT, MEAGAN MARGARET (DPT)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:MARGARET
Last Name:MOFFAT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2912 OCEAN DR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-2052
Mailing Address - Country:US
Mailing Address - Phone:760-613-5890
Mailing Address - Fax:
Practice Address - Street 1:2912 OCEAN DR
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-2052
Practice Address - Country:US
Practice Address - Phone:760-613-5890
Practice Address - Fax:760-613-5890
Is Sole Proprietor?:No
Enumeration Date:2017-07-10
Last Update Date:2017-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist