Provider Demographics
NPI:1417172586
Name:MCDONALD, NANCY E (LPT)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:E
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 CREDIT UNION WAY
Mailing Address - Street 2:FL 3
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4633
Mailing Address - Country:US
Mailing Address - Phone:781-961-3370
Mailing Address - Fax:781-961-1291
Practice Address - Street 1:56 NEW DRIFTWAY
Practice Address - Street 2:SUITE 204
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-4533
Practice Address - Country:US
Practice Address - Phone:781-544-3434
Practice Address - Fax:781-544-3946
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2017-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA71432251P0200X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics