Provider Demographics
NPI:1356730147
Name:MEGAN OHYSICAL THERAPY AND REHABILITATION
Entity type:Organization
Organization Name:MEGAN OHYSICAL THERAPY AND REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-224-9000
Mailing Address - Street 1:PO BOX 5141
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-5141
Mailing Address - Country:US
Mailing Address - Phone:215-224-9000
Mailing Address - Fax:215-224-8930
Practice Address - Street 1:5901 N 6TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120-1304
Practice Address - Country:US
Practice Address - Phone:215-224-9000
Practice Address - Fax:215-224-8930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-15
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization