Provider Demographics
NPI:1417292319
Name:MC CAUSLAND, DANA GABRIELE (PT)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:GABRIELE
Last Name:MC CAUSLAND
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 1:27 ROGERS RD
Mailing Address - Street 2:
Mailing Address - City:CENTER BARNSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03225-3348
Mailing Address - Country:US
Mailing Address - Phone:603-369-3424
Mailing Address - Fax:
Practice Address - Street 1:62 ROCHESTER HILL RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-3216
Practice Address - Country:US
Practice Address - Phone:603-335-3955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-03
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2720225100000X
MA13334225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist