MEDICARE: MRS. CHRISTINE MARGARET MCCAULEY MPT

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	2251X0800X	Orthopedic Physical Therapist	19440	MD
2	225100000X	Physical Therapist	19440	MD

General Provider Information

NPI Number	:	1952422206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINE MARGARET MCCAULEY MPT

Provider Business Mailing Address
First Line	:	5210 NEW PROSPECT CT
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-6679
Country	:	US
Telephone Number	:	410-461-1506
Fax Number	:

Provider Business Practice Location Address
First Line	:	8165 CYPRUS CEDAR LN
Second Line	:	STE 205
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-5565
Country	:	US
Telephone Number	:	410-799-0818
Fax Number	:	410-799-2653

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	05/12/2017

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