Provider Demographics
NPI:1518127240
Name:MCLLARKY, ANDREW MICHAEL (MSPT, (GPT))
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:MICHAEL
Last Name:MCLLARKY
Suffix:
Gender:M
Credentials:MSPT, (GPT)
Other - Prefix:
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Mailing Address - Street 1:7 RESERVOIR RD
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-5501
Mailing Address - Country:US
Mailing Address - Phone:978-524-0333
Mailing Address - Fax:978-524-0334
Practice Address - Street 1:7 RESERVOIR RD
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-5501
Practice Address - Country:US
Practice Address - Phone:978-524-0333
Practice Address - Fax:978-524-0334
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist