Provider Demographics
NPI:1023765963
Name:ARREDONDO, MEGHAN (PT, DPT)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:ARREDONDO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:
Other - Last Name:ZIMMERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1212 OAK ST
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-3808
Mailing Address - Country:US
Mailing Address - Phone:717-682-3909
Mailing Address - Fax:631-580-5222
Practice Address - Street 1:156 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-5800
Practice Address - Country:US
Practice Address - Phone:267-351-2215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-09
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT030273225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist