Ellen L. Mcgough PT

NPI 1063589422 - Physical Therapist - 225100000X

NPI Details
NPI 1063589422
Gender Female
Enumeration Date 11/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4245 ROOSEVELT WAY NE
BOX 354745
SEATTLE WA, 98105-6008, US
Phone (206) 598-2888
Fax (206) 598-4484
Business Location
PO BOX 24366
MS 359107
SEATTLE WA, 98124-0366, US
Phone (206) 598-0502
Fax (206) 598-0516
Toxanomy
Taxonomy Code 225100000X
License State Washington
License Number PT00005107
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According to our database, Ellen L. Mcgough PT NPI is 1063589422, taxonomy code is 225100000X and license number is PT00005107, license state is located at Washington. Ellen L. Mcgough PT physically located at 4245 Roosevelt Way Ne, Seattle WA, 98105-6008. NPI Number Ellen L. Mcgough PT has the Individual type.

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1063589422 NPI number is provided on an as is basis without warranty of any kind. 1063589422 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen L. Mcgough PT are for informational purposes only.