Most Relevant Information
Provider Data
| NPI Number: | 1003395401 |
| Provider Name: | MEGAN HEATHER DAVIS PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2079119 |
Most Important Dates
| Enumeration Date: | 08/07/2018 |
| Last Updated: | 08/07/2018 |
Provider Practice Location
855 THOMAS ST
COPPERAS COVE
TX
765227736
Practice Location Phone/Fax
| Phone: | 9123441115 |
| Fax: |
Provider Mailing Location
855 THOMAS ST
COPPERAS COVE
TX
765227736
Provider Mailing Phone/Fax
| Phone: | 9123441115 |
| Fax: |