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NPI Code Detail

MEDICARE: MS. MARGARET ANN MCRAITH PHYSICAL THERAPIST

MEDICARE:  MS. MARGARET ANN MCRAITH  PHYSICAL THERAPIST
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 Therapist990MN

General Provider Information

NPI Number : 1780808642
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARGARET ANN MCRAITH PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 5348 15TH AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55417-1812
Country : US
Telephone Number : 612-825-8324
Fax Number : 612-825-8324
Provider Business Practice Location Address
First Line : 5348 15TH AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55417-1812
Country : US
Telephone Number : 612-825-8324
Fax Number : 612-825-8324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 07/08/2007

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Directions to “ MS. MARGARET ANN MCRAITH PHYSICAL THERAPIST” Practice Location

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