MEDICARE: MARY BETH FLAUGH PT

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
1	225100000X	Physical Therapist	PT002547	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235168790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY BETH FLAUGH PT

Provider Business Mailing Address
First Line	:	800 PLAZA DR
Second Line	:	WILLOWPOINT PLAZA SUITE 110
City	:	BELLE VERNON
State	:	PA
Zip	:	15012-4019
Country	:	US
Telephone Number	:	724-379-7130
Fax Number	:	724-379-7178

Provider Business Practice Location Address
First Line	:	800 PLAZA DR
Second Line	:	WILLOWPOINT PLAZA SUITE 110
City	:	BELLE VERNON
State	:	PA
Zip	:	15012-4019
Country	:	US
Telephone Number	:	724-379-7130
Fax Number	:	724-379-7178

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	07/09/2007

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