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NPI Code Detail

MEDICARE: LAUREN MARIE MCGINNIS PT, DPT

MEDICARE: LAUREN MARIE MCGINNIS PT, DPT
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 TherapistPT026565PA

General Provider Information

NPI Number : 1932613155
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN MARIE MCGINNIS PT, DPT
Provider Business Mailing Address
First Line : 207 FLAGSTONE RD
Second Line :
City : CHESTER SPRINGS
State : PA
Zip : 19425-3826
Country : US
Telephone Number : 610-241-2685
Fax Number : 877-732-7311
Provider Business Practice Location Address
First Line : 4302 WOODLAND AVE
Second Line :
City : DREXEL HILL
State : PA
Zip : 19026-4324
Country : US
Telephone Number : 610-241-2685
Fax Number : 877-732-7311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2017
Last Update Date : 11/27/2017

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