MEDICARE: DR. SARAH MCMAHON PT, DPT

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	PT026644	PA

General Provider Information

NPI Number	:	1417459827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH MCMAHON PT, DPT

Provider Business Mailing Address
First Line	:	4127 LAURISTON ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19128-3528
Country	:	US
Telephone Number	:	732-778-8173
Fax Number	:

Provider Business Practice Location Address
First Line	:	4127 LAURISTON ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19128-3528
Country	:	US
Telephone Number	:	732-778-8173
Fax Number	:

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

Provider Enumeration Date	:	03/01/2018
Last Update Date	:	03/01/2018

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