| Doctor Name: | JAIME MICHELLE MCGOUGH |
| NPI Number: | 1093702466 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | PT015906 |
| Business Practice Address: | 2757 Leechburg Rd Lower Burrell, PA - 150683138 |
| Business Phone Number: | 7243376522 |
| Business Fax Number: | 7243370630 |
| Mailing Address: | 3160 Oregon Dr, Unit 8 LOWER BURRELL |
| State: | PA |
| Postal Code: | 150682835 |
| Phone Number: | 7243390897 |
| Fax Number: | |
| NPI Enumeration Date: | 09/30/2005 |
| NPI Last Update Date: | 08/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT015906 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |