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NPI Code Detail

MEDICARE: MRS. KRISTEN MCAULIFFE M.S. P.T.

MEDICARE: MRS. KRISTEN MCAULIFFE M.S. P.T.
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 Therapist2305203292VA

General Provider Information

NPI Number : 1821054461
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTEN MCAULIFFE M.S. P.T.
Provider Business Mailing Address
First Line : 5102 DEVONSHIRE RD
Second Line :
City : RICHMOND
State : VA
Zip : 23225-3012
Country : US
Telephone Number : 804-231-1738
Fax Number :
Provider Business Practice Location Address
First Line : 3413 COX RD
Second Line :
City : RICHMOND
State : VA
Zip : 23233-2001
Country : US
Telephone Number : 804-527-1460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2006
Last Update Date : 07/08/2007

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