Individual provider · Type 1 NPI
Megan McBroom Van Wart, MS, ATC, LAT
Specialist · Fort Worth, TX
NPI number
1447360409
Active
Practice location
4200 Country Day Ln
Fort Worth, TX 76109-4201
Fax (817) 302-3279
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | AT1943 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1447360409
Megan McBroom Van Wart, MS, ATC, LAT's National Provider Identifier is 1447360409, issued on Aug 30, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 8, 2007.