Provider Demographics
NPI:1194078246
Name:MCLAUGHLIN, TERRY (ATC)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N MERION AVE
Mailing Address - Street 2:SCHWARTZ GYMNASIUM
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-2859
Mailing Address - Country:US
Mailing Address - Phone:610-526-7346
Mailing Address - Fax:610-526-7425
Practice Address - Street 1:101 N MERION AVE
Practice Address - Street 2:SCHWARTZ GYMNASIUM
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-2859
Practice Address - Country:US
Practice Address - Phone:610-526-7346
Practice Address - Fax:610-526-7425
Is Sole Proprietor?:No
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0039982255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer