Basic Information
| Provider Information | |||||||||
| NPI: | 1225705999 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HARNE | ||||||||
| FirstName: | MEGAN | ||||||||
| MiddleName: | L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12638 WOLFSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | SMITHSBURG | ||||||||
| State: | MD | ||||||||
| PostalCode: | 217839305 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3016761646 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8348 TRAFORD LN STE 100 | ||||||||
| Address2: | |||||||||
| City: | WEST SPRINGFIELD | ||||||||
| State: | VA | ||||||||
| PostalCode: | 221521650 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7035697335 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2021 | ||||||||
| LastUpdateDate: | 08/30/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.