MRS. Megan Mcbroom Van Wart, MS, ATC, LAT

NPI #1447360409 in Fort Worth, Texas

Provider Information

NPI Number: 1447360409
Entity Type: Individual
Name: MRS. Megan Mcbroom Van Wart, MS, ATC, LAT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MS, ATC, LAT
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4200 COUNTRY DAY LN
City: Fort Worth
State: Texas
ZIP Code: 76109-4201
Phone: (817) 302-3265

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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