Provider Demographics
NPI:1972019719
Name:MCMANUS, MEADHBH (PT)
Entity Type:Individual
Prefix:
First Name:MEADHBH
Middle Name:
Last Name:MCMANUS
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 1:35 NEW ENGLAND BUSINESS CENTER DR STE 207
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-1071
Mailing Address - Country:US
Mailing Address - Phone:978-388-4500
Mailing Address - Fax:855-639-1689
Practice Address - Street 1:35 NEW ENGLAND BUSINESS CENTER DR STE 207
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-1071
Practice Address - Country:US
Practice Address - Phone:978-388-4500
Practice Address - Fax:855-639-1689
Is Sole Proprietor?:No
Enumeration Date:2017-12-15
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19450225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist