Provider Demographics
NPI:1568128999
Name:SUNDQUIST, MEGHAN (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:
Last Name:SUNDQUIST
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 1:19 TENNYSON RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-1651
Mailing Address - Country:US
Mailing Address - Phone:781-439-1621
Mailing Address - Fax:
Practice Address - Street 1:3179 MAIN ST
Practice Address - Street 2:
Practice Address - City:BARNSTABLE
Practice Address - State:MA
Practice Address - Zip Code:02630-1105
Practice Address - Country:US
Practice Address - Phone:508-209-7334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-10
Last Update Date:2024-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA26065225100000X
CO18017225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist