| Megan Servilla, | |
|
200 Center St, Moriarty, NM 87035 | |
| (505) 832-5817 | |
| Not Available |
| Full Name | Megan Servilla |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 200 Center St, Moriarty, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245482652 | NPI | - | NPPES |
| 3559 | Other | NM | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3559 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Servilla, Po Box 2000, Moriarty, NM 87035-2000 Ph: (505) 832-5817 | Megan Servilla, 200 Center St, Moriarty, NM 87035 Ph: (505) 832-5817 |
Mr. James Mark Fowler, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2005 W Us Route 66, Suite C, Moriarty, NM 87035 Phone: 505-832-4011 Fax: 505-832-0434 | |
East Mountain Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 2005b Us Route 66 West, Moriarty, NM 87035 Phone: 505-832-4011 Fax: 505-832-0434 |