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NPI Code Detail

MEDICARE: JENNIFER MCGRATH

MEDICARE:   JENNIFER  MCGRATH
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 Therapist12822-24WI

General Provider Information

NPI Number : 1063813236
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MCGRATH
Provider Business Mailing Address
First Line : 8274 E SAN RD
Second Line :
City : SOUTH RANGE
State : WI
Zip : 54874-8621
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8274 E SAN RD
Second Line :
City : SOUTH RANGE
State : WI
Zip : 54874-8621
Country : US
Telephone Number : 715-398-3523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2014
Last Update Date : 01/03/2024

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Directions to “ JENNIFER MCGRATH ” Practice Location

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