Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 1741 | NH |
NPI | 1003948969 |
---|---|
Provider Name | Ms. Cheryl Elaine Mcguire |
First Address | Groton, MA 01450-1488 |
Second Address | Hudson, NH 03051-4909 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1741 | OT LICENSE (01) | NH |
2441 | OT LICENSE (01) | MA |