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NPI Code Detail

MEDICARE: MRS. MEEGHAN MICHELLE BRAGG MPT

MEDICARE: MRS. MEEGHAN MICHELLE BRAGG MPT
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 Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1240093OTHERRIBCBS
26400187OTHERRINEIGHBORHOOD HEALTH
36400187OTHERRIUNITED HEALTHCARE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5409040OTHERRIBLUE CHIP
64224OTHERRINEIGH3

General Provider Information

NPI Number : 1124190947
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEEGHAN MICHELLE BRAGG MPT
Provider Business Mailing Address
First Line : 3445 POST ROAD
Second Line : J ARTHUR TRUDEAU MEMORIAL CENTER
City : WARWICK
State : RI
Zip : 02886-7147
Country : US
Telephone Number : 401-739-2700
Fax Number : 401-737-8907
Provider Business Practice Location Address
First Line : 3445 POST ROAD
Second Line : J ARTHUR TRUDEAU MEMORIAL CENTER
City : WARWICK
State : RI
Zip : 02886-7147
Country : US
Telephone Number : 401-739-2700
Fax Number : 401-737-8907
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 07/08/2007

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