Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 2278 | MA |
NPI | 1184057051 |
---|---|
Provider Name | Ms. Mary Mcguigan |
First Address | Wakefield, MA 01880-5204 |
Second Address | Saugus, MA 01906-3037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2013 |
Last Update Date | 15/08/2013 |