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Contact Information

MEGAN WALLACE
GREENFIELD REHAB AGENCY
3360 GATEWAY ROAD
BROOKFIELD, WI53045
 Phone: 262-923-7101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MEGAN WALLACE · (Female)

NPI # 1609641125
Status Active
Credentials
Entity Individual
Enumeration date 11/15/2023
Last updated 11/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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