Provider Demographics
NPI:1770971590
Name:ERB, MEGAN ALEXANDRA (PT, DPT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ALEXANDRA
Last Name:ERB
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 SARATOGA DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-5720
Mailing Address - Country:US
Mailing Address - Phone:609-458-7948
Mailing Address - Fax:
Practice Address - Street 1:618 SARATOGA DR
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-5720
Practice Address - Country:US
Practice Address - Phone:609-458-7948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-31
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01587300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist