Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 010507-1 | NY |
NPI | 1033363429 |
---|---|
Provider Name | Ms. Deirdre Ann Mcginnis |
First Address | Mahwah, NJ 07430-1821 |
Second Address | Mahwah, NJ 07430-1821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2008 |
Last Update Date | 11/11/2008 |