Provider Demographics
NPI:1740204486
Name:MCQUARRIE, RICHARD DONALD (PT)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:DONALD
Last Name:MCQUARRIE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9722 MOUNT TABOR RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21769-9523
Mailing Address - Country:US
Mailing Address - Phone:240-818-8629
Mailing Address - Fax:
Practice Address - Street 1:4707 SCHLEY AVE # F
Practice Address - Street 2:STE 595
Practice Address - City:BRADDOCK HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:21714-7500
Practice Address - Country:US
Practice Address - Phone:240-356-0330
Practice Address - Fax:240-356-0340
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17170225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS404 0025OtherCAREFIRST BC/BS
MDKBC4H064419701OtherBC/BS OF MARYLAND