MEDICARE: MICHAEL FINNAN 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
1	225100000X	Physical Therapist	40QA00700500	NJ

General Provider Information

NPI Number	:	1528010469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL FINNAN MPT

Provider Business Mailing Address
First Line	:	84 E GRANT ST
Second Line	:	SUITE 3
City	:	WOODSTOWN
State	:	NJ
Zip	:	08098-1416
Country	:	US
Telephone Number	:	856-769-4564
Fax Number	:	856-769-4637

Provider Business Practice Location Address
First Line	:	84 E GRANT ST
Second Line	:	SUITE 3
City	:	WOODSTOWN
State	:	NJ
Zip	:	08098-1416
Country	:	US
Telephone Number	:	856-769-4564
Fax Number	:	856-769-4637

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	07/08/2007

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