Provider Demographics
NPI:1477957256
Name:MCLAUGHLIN, NANCY (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MOSER ROAD
Mailing Address - Street 2:P.O. BOX 487
Mailing Address - City:RIVERSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:17868-0487
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 BERWICK ROAD
Practice Address - Street 2:ORANGEVILLE NURSING AND REHAB CENTER
Practice Address - City:ORANGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:17859
Practice Address - Country:US
Practice Address - Phone:570-683-8511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-22
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006976L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist