MEDICARE: MARGARET PEARCE P.T.

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	18136	MD

General Provider Information

NPI Number	:	1801193420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET PEARCE P.T.

Provider Business Mailing Address
First Line	:	2557 ASHBROOK DR
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-1756
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2557 ASHBROOK DR
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-1756
Country	:	US
Telephone Number	:	410-480-0603
Fax Number	:

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

Provider Enumeration Date	:	02/16/2011
Last Update Date	:	02/16/2011

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