Provider Demographics
NPI:1922589969
Name:VALDOVINOS, MEGAN R (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:R
Last Name:VALDOVINOS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:MEGAN
Other - Middle Name:R
Other - Last Name:FUHRMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:PO BOX 553
Mailing Address - Street 2:
Mailing Address - City:OWATONNA
Mailing Address - State:MN
Mailing Address - Zip Code:55060-0553
Mailing Address - Country:US
Mailing Address - Phone:507-451-7888
Mailing Address - Fax:
Practice Address - Street 1:123 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:OWATONNA
Practice Address - State:MN
Practice Address - Zip Code:55060-2301
Practice Address - Country:US
Practice Address - Phone:507-451-7888
Practice Address - Fax:507-451-3322
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11259225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist