Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marylouise Macmullan, PTDPT

Individual provider Physical Therapist · NPI 1538908504

Marylouise Macmullan, PTDPT is a Physical Therapist in Philadelphia, Pennsylvania. Licensed in New Hampshire. Registered with an NPI since 2024.

Licensed in
NH
In the registry since
2024

Practice location Address checks out

1608 Walnut St Fl 2
Philadelphia, PA 19103-5457
Phone: (215) 545-8717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA02252800 (NH)

Record details

NPI number1538908504
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTDPT
Sole proprietorNo
NPI enumeratedMay 21, 2024
Last updated in NPPESMay 21, 2024
Certification dateMay 20, 2024

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