Provider Demographics
NPI:1659961381
Name:ABRAMS, MEAGAN ALEXANDRIA (DPT)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:ALEXANDRIA
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:
Other - Last Name:RHINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:3800 WEDGEFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-4341
Mailing Address - Country:US
Mailing Address - Phone:419-577-8280
Mailing Address - Fax:
Practice Address - Street 1:1301 CEDAR RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-7105
Practice Address - Country:US
Practice Address - Phone:757-512-7626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05014568A225100000X
TN13267225100000X
VACP017189T225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN05014568AOtherSTATE OF IN