Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 1503-26 | WI |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 1503-026 | WI |
NPI | 1639239502 |
---|---|
Provider Name | Ellen S Mcginn |
First Address | Madison, WI 53715-1507 |
Second Address | Madison, WI 53715-1507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 31/12/2014 |