Provider Demographics
NPI:1417150855
Name:MCGOWAN, MARGARET MARY (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET MARY
Middle Name:
Last Name:MCGOWAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:HANOVER TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18706-1616
Mailing Address - Country:US
Mailing Address - Phone:570-825-6162
Mailing Address - Fax:
Practice Address - Street 1:55 W CENTER HILL RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:PA
Practice Address - Zip Code:18612-1069
Practice Address - Country:US
Practice Address - Phone:570-675-8600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006684L314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility