Individual
THOMAS MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61764
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500710117
—
OR
01
—
61764
LICENSE
OR
Enumeration date
06/21/2016
Last updated
04/25/2019
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