Megan Ivanoff, DPT

NPI #1609283662 in Moscow, Pennsylvania

Provider Information

NPI Number: 1609283662
Entity Type: Individual
Name: Megan Ivanoff, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: DPT
Enumeration Date: Jul 22, 2014
Last Updated: Jul 22, 2014

Practice Location

Address: 208 S MAIN ST
City: Moscow
State: Pennsylvania
ZIP Code: 18444-9135
Phone: (570) 842-9323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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