Provider Demographics
NPI:1952853574
Name:MCGREAL, MARGARET HUBER (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:HUBER
Last Name:MCGREAL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:MARGO
Other - Middle Name:HUBER
Other - Last Name:MCGREAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:4229 PEARL RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-4218
Mailing Address - Country:US
Mailing Address - Phone:216-957-3103
Mailing Address - Fax:216-957-2041
Practice Address - Street 1:4229 PEARL RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-4218
Practice Address - Country:US
Practice Address - Phone:216-957-3103
Practice Address - Fax:216-957-2041
Is Sole Proprietor?:No
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT5259225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist