MEDICARE: LAURA H MCGRATH 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	PT3044	ME

General Provider Information

NPI Number	:	1932148640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA H MCGRATH P.T.

Provider Business Mailing Address
First Line	:	1218 SHORE RD
Second Line	:
City	:	CAPE ELIZABETH
State	:	ME
Zip	:	04107-2123
Country	:	US
Telephone Number	:	207-799-8226
Fax Number	:

Provider Business Practice Location Address
First Line	:	1218 SHORE RD
Second Line	:
City	:	CAPE ELIZABETH
State	:	ME
Zip	:	04107-2123
Country	:	US
Telephone Number	:	207-799-8226
Fax Number	:

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

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	02/10/2015

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