Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 46TR00229500 | NJ |
N | 225XL0004X | Low Vision | 46TR00229500 | NJ |
NPI | 1356942502 |
---|---|
Provider Name | Sharon Clare Mcgeady |
First Address | Stockton, NJ 08559-1925 |
Second Address | Stockton, NJ 08559-1925 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2020 |
Last Update Date | 04/11/2020 |