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Individual
JOANNE MARGARET MCCONLOGUE
Active
Individual
JOANNE MARGARET MCCONLOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 43438
CA
225100000X
Physical Therapist
PT15484
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1035G
BCBS
—
01
—
5491514
AETNA
—
01
—
805158
PARTNERS MEDICARE
—
01
—
97897
MEDCOST
—
01
—
P00120492
RAILROAD MEDICARE
—
Enumeration date
12/09/2005
Last updated
12/30/2021
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