Provider Demographics
NPI:1669729273
Name:HAUGHT, MEGAN J (PT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:J
Last Name:HAUGHT
Suffix:
Gender:F
Credentials:PT
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2233 STATE ROUTE 86
Mailing Address - Street 2:REHABILITATION DEPT
Mailing Address - City:SARANAC LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12983-5644
Mailing Address - Country:US
Mailing Address - Phone:518-897-2697
Mailing Address - Fax:518-897-2451
Practice Address - Street 1:2233 STATE ROUTE 86
Practice Address - Street 2:REHABILITATION DEPT
Practice Address - City:SARANAC LAKE
Practice Address - State:NY
Practice Address - Zip Code:12983-5644
Practice Address - Country:US
Practice Address - Phone:518-897-2697
Practice Address - Fax:518-897-2451
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2012-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY035488225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist