Most Relevant Information
Provider Data
| NPI Number: | 1003430380 |
| Provider Name: | MARC PHILLIP MCCUEN PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 018604 |
Most Important Dates
| Enumeration Date: | 06/03/2020 |
| Last Updated: | 10/25/2021 |
Provider Practice Location
159 W MAIN ST
NEWARK
OH
430555007
Practice Location Phone/Fax
| Phone: | 7403452837 |
| Fax: | 7403454793 |
Provider Mailing Location
11177 LAMBS LN # 11177
NEWARK
OH
430559779
Provider Mailing Phone/Fax
| Phone: | 7407630408 |
| Fax: | 7407630475 |