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NPI Code Detail

MEDICARE: BECKY MCQUAIN PT

MEDICARE: BECKY MCQUAIN 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
1225100000XPhysical Therapist35763CA

General Provider Information

NPI Number : 1770923781
Entity Type Code : Individual
Provider Name (Legal Business Name) : BECKY MCQUAIN PT
Provider Business Mailing Address
First Line : 1098 PALMVIEW AVE
Second Line :
City : EL CENTRO
State : CA
Zip : 92243-9148
Country : US
Telephone Number : 321-698-7520
Fax Number :
Provider Business Practice Location Address
First Line : 1098 PALMVIEW AVE
Second Line :
City : EL CENTRO
State : CA
Zip : 92243-9148
Country : US
Telephone Number : 321-698-7520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2013
Last Update Date : 07/05/2013

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Directions to “ BECKY MCQUAIN PT” Practice Location

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