Healthcare Provider Details

I. General information

NPI: 1730214412
Provider Name (Legal Business Name): PATRICIA ANN MCGRATH OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4720 HINCKLEY INDUSTRIAL PKWY
CLEVELAND OH
44109-6003
US

IV. Provider business mailing address

26403 CHAPEL HILL DR
NORTH OLMSTED OH
44070-1885
US

V. Phone/Fax

Practice location:
  • Phone: 216-749-0356
  • Fax:
Mailing address:
  • Phone: 440-716-8003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberOT.001001
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: