Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT003198 | PA |
NPI | 1003180175 |
---|---|
Provider Name | Nancy Rai Mcguire |
First Address | Berwyn, PA 19312-2221 |
Second Address | Berwyn, PA 19312-2221 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2012 |
Last Update Date | 06/03/2012 |