Healthcare Provider Details

I. General information

NPI: 1548237365
Provider Name (Legal Business Name): MEGAN P MCLAUGHLIN MSPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS MEGAN P TOTMAN

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 09/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 N MAIN ST
GLASSBORO NJ
08028-1605
US

IV. Provider business mailing address

242 CARSON AVE
GIBBSTOWN NJ
08027-1436
US

V. Phone/Fax

Practice location:
  • Phone: 856-307-9700
  • Fax: 856-307-0289
Mailing address:
  • Phone: 856-599-0220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA00991800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: