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NPI Code Detail

MEDICARE: MRS. MARY KATHERINE PFEFFER MPT, ATC

MEDICARE: MRS. MARY KATHERINE PFEFFER MPT, ATC
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
12251X0800XOrthopedic Physical TherapistPT002814EPA

General Provider Information

NPI Number : 1891830634
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY KATHERINE PFEFFER MPT, ATC
Provider Business Mailing Address
First Line : 5635 STEUBENVILLE PIKE
Second Line :
City : MC KEES ROCKS
State : PA
Zip : 15136-1415
Country : US
Telephone Number : 412-787-8616
Fax Number : 412-787-8618
Provider Business Practice Location Address
First Line : 5635 STEUBENVILLE PIKE
Second Line :
City : MC KEES ROCKS
State : PA
Zip : 15136-1415
Country : US
Telephone Number : 412-787-8616
Fax Number : 412-787-8618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 07/08/2007

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