Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT 3324 | OH |
NPI | 1700851797 |
---|---|
Provider Name | Mrs. Mary Johanna Mcguire |
First Address | Fairlawn, OH 44333-3635 |
Second Address | Fairlawn, OH 44333-2878 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 23/09/2016 |