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NPI Code Detail

MEDICARE: SHAWNA MCLAUGHLIN

MEDICARE:   SHAWNA  MCLAUGHLIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist3132487TX

General Provider Information

NPI Number : 1053171991
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWNA MCLAUGHLIN
Provider Business Mailing Address
First Line : 11215 S INTERSTATE 35 STE 102
Second Line :
City : AUSTIN
State : TX
Zip : 78747-1864
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11215 S INTERSTATE 35
Second Line :
City : AUSTIN
State : TX
Zip : 78747-1863
Country : US
Telephone Number : 512-292-1908
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2024
Last Update Date : 03/19/2024

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Directions to “ SHAWNA MCLAUGHLIN ” Practice Location

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