Provider Demographics
NPI:1891065413
Name:MORGAN, MEGAN SUE (DPT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:SUE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:SUE
Other - Last Name:CROWLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:319 MILLER AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-5904
Mailing Address - Country:US
Mailing Address - Phone:415-388-8166
Mailing Address - Fax:415-388-8169
Practice Address - Street 1:319 MILLER AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-5904
Practice Address - Country:US
Practice Address - Phone:415-388-8166
Practice Address - Fax:415-388-8169
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT38566225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist