| Doctor Name: | JESSICA MACRAE |
| NPI Number: | 1376930529 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PT29929 |
| Business Practice Address: | 121 Cranberry Rd Grove City, PA - 161274629 |
| Business Phone Number: | 7244589473 |
| Business Fax Number: | 7244581626 |
| Mailing Address: | 46 Rosewood Ln, GROVE CITY |
| State: | PA |
| Postal Code: | 161274550 |
| Phone Number: | 7244586372 |
| Fax Number: | 7244586378 |
| NPI Enumeration Date: | 04/24/2015 |
| NPI Last Update Date: | 07/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT29929 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| 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 |