Provider Demographics
NPI:1588799266
Name:RAMPA, MEGAN M (PT PHYSICAL THERAPY)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:M
Last Name:RAMPA
Suffix:
Gender:F
Credentials:PT PHYSICAL THERAPY
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Other - First Name:
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Mailing Address - Street 1:2323 N MAYFAIR RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-1506
Mailing Address - Country:US
Mailing Address - Phone:414-443-9862
Mailing Address - Fax:414-443-9868
Practice Address - Street 1:3111 WEST RAWSON AVENUE
Practice Address - Street 2:SUITE 215
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132
Practice Address - Country:US
Practice Address - Phone:414-761-0727
Practice Address - Fax:414-761-0785
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2019-01-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI36131700Medicaid
WI36131700Medicaid