Provider Demographics
NPI:1467664664
Name:MCGAUGHEY, SARAH LYNN (MPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:MCGAUGHEY
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 LAMP POST RD
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4423
Mailing Address - Country:US
Mailing Address - Phone:405-401-5600
Mailing Address - Fax:
Practice Address - Street 1:602 SE WALLOCK ST
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73501-5444
Practice Address - Country:US
Practice Address - Phone:580-585-5577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3931225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist