Basic Information
| Provider Information | |||||||||
| NPI: | 1619141207 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EGGLETON | ||||||||
| FirstName: | MEGAN | ||||||||
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| Credential: | D.P.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 48 SCHAEFER RD | ||||||||
| Address2: | JEFFERSONVILLE | ||||||||
| City: | JEFFERSONVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 127485830 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8458875530 | ||||||||
| FaxNumber: | 8458874656 | ||||||||
| Practice Location | |||||||||
| Address1: | 8881 STATE ROUTE 97 | ||||||||
| Address2: | CALLICOON | ||||||||
| City: | CALLICOON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 127235052 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8458875530 | ||||||||
| FaxNumber: | 8458874656 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/15/2008 | ||||||||
| LastUpdateDate: | 04/15/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 62-029969 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.