Provider Demographics
NPI:1902908726
Name:MCLAUGHLIN, STEVE (PT)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:MR
Other - First Name:STEVE
Other - Middle Name:
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:308 JUNIPER ST
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1604
Mailing Address - Country:US
Mailing Address - Phone:215-538-9245
Mailing Address - Fax:215-538-9984
Practice Address - Street 1:308 JUNIPER ST
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1604
Practice Address - Country:US
Practice Address - Phone:215-538-9245
Practice Address - Fax:215-538-9984
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008495L2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0728511000OtherIBC INDIVIDUAL PROVIDER #
PA7831548OtherAETNA PROVIDER #
PA2626965000OtherIBC PROVIDER #
PA7831548OtherAETNA PROVIDER #