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NPI Code Detail

MEDICARE: MAUREEN SUSAN MARQUIE PT, DPT

MEDICARE: MAUREEN SUSAN MARQUIE PT, DPT
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 TherapistP21544NC
2225100000XPhysical TherapistCP046911TSC

General Provider Information

NPI Number : 1053205666
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAUREEN SUSAN MARQUIE PT, DPT
Provider Business Mailing Address
First Line : 170 LONGLEAF DR
Second Line :
City : MOORESVILLE
State : NC
Zip : 28117-9551
Country : US
Telephone Number : 919-457-3359
Fax Number :
Provider Business Practice Location Address
First Line : 287 WILLIAMSON RD STE A
Second Line :
City : MOORESVILLE
State : NC
Zip : 28117-6967
Country : US
Telephone Number : 704-360-5511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2025
Last Update Date : 03/05/2026

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