MEDICARE: MS. MARIAN M MACARTNEY 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	2875	MA

General Provider Information

NPI Number	:	1548513021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIAN M MACARTNEY PT

Provider Business Mailing Address
First Line	:	45 HOWARD ST
Second Line	:
City	:	SOUTH EASTON
State	:	MA
Zip	:	02375-1448
Country	:	US
Telephone Number	:	508-238-9471
Fax Number	:	508-230-5963

Provider Business Practice Location Address
First Line	:	907 CENTER ST
Second Line	:
City	:	NORTH DIGHTON
State	:	MA
Zip	:	02764-1710
Country	:	US
Telephone Number	:	508-669-4054
Fax Number	:

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

Provider Enumeration Date	:	10/20/2012
Last Update Date	:	10/20/2012

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