Provider Demographics
NPI:1700018744
Name:POWERS, MEGAN MOHACEY (DPT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:MOHACEY
Last Name:POWERS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:ANNE
Other - Last Name:MOHACEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:270 COMMERCE DR STE 270
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-2405
Mailing Address - Country:US
Mailing Address - Phone:215-654-1520
Mailing Address - Fax:215-654-1529
Practice Address - Street 1:270 COMMERCE DR STE 270
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-2405
Practice Address - Country:US
Practice Address - Phone:215-654-1520
Practice Address - Fax:215-654-1529
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT020097225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist