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Individual
MICHAEL MCGRAW
Active
Individual
MICHAEL MCGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
TPT021560
PA
225100000X
Physical Therapist
Primary
PT023691
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT023691
STATE LICENSURE
PA
Enumeration date
07/25/2014
Last updated
03/15/2022
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