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NPI Code Detail

MEDICARE: DR. DOMINIQUE MCLAUGHLIN DPT,PT

MEDICARE:  DR. DOMINIQUE  MCLAUGHLIN  DPT,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
12251X0800XOrthopedic Physical TherapistPT4735ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11568567659OTHERMEGREATER BRUNSWICK PHYSICAL THERAPY

General Provider Information

NPI Number : 1447790415
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOMINIQUE MCLAUGHLIN DPT,PT
Provider Business Mailing Address
First Line : 11 BOWDOIN MILL IS # 220
Second Line :
City : TOPSHAM
State : ME
Zip : 04086-1263
Country : US
Telephone Number : 207-729-1164
Fax Number :
Provider Business Practice Location Address
First Line : 11 BOWDOIN MILL IS # 220
Second Line :
City : TOPSHAM
State : ME
Zip : 04086-1263
Country : US
Telephone Number : 207-729-1164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2017
Last Update Date : 01/17/2018

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Directions to “ DR. DOMINIQUE MCLAUGHLIN DPT,PT” Practice Location

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