Provider Demographics
NPI:1548513021
Name:MACARTNEY, MARIAN M (PT)
Entity type:Individual
Prefix:MS
First Name:MARIAN
Middle Name:M
Last Name:MACARTNEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:MARY
Other - Middle Name:M
Other - Last Name:MACARTNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:45 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02375-1448
Mailing Address - Country:US
Mailing Address - Phone:508-238-9471
Mailing Address - Fax:508-230-5963
Practice Address - Street 1:907 CENTER ST
Practice Address - Street 2:
Practice Address - City:NORTH DIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02764-1710
Practice Address - Country:US
Practice Address - Phone:508-669-4054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-20
Last Update Date:2012-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2875225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist