Individual
MRS. COLLEEN THERESA MCGINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3600 GRANT AVE, PHILADELPHIA, PA 19114-2630
(215) 677-0400
(215) 671-1837
Mailing address
3600 GRANT AVE, PHILADELPHIA, PA 19114-2630
(215) 677-0400
(215) 677-5181
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015126
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007484435
AETNA
PA
01
—
1860368
BLUE SHIELD
PA
01
—
2122587000
PERSONAL CHOICE
PA
01
—
2719098000
BLUE CROSS
PA
Enumeration date
09/11/2006
Last updated
02/24/2014
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