Provider Demographics
NPI:1629650247
Name:FAULSTICK, MEGAN ELIZABETH (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:ELIZABETH
Last Name:FAULSTICK
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:MEGAN
Other - Middle Name:ELIZABETH
Other - Last Name:RITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:7140 GERMANTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-1843
Mailing Address - Country:US
Mailing Address - Phone:215-753-9034
Mailing Address - Fax:215-753-9035
Practice Address - Street 1:7140 GERMANTOWN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-1843
Practice Address - Country:US
Practice Address - Phone:215-753-9034
Practice Address - Fax:215-753-9035
Is Sole Proprietor?:No
Enumeration Date:2021-04-23
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
PAPT029719225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist