MEDICARE: MARGARET MCGUIRE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	022591	NY

General Provider Information

NPI Number	:	1114410651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET MCGUIRE

Provider Business Mailing Address
First Line	:	25 HIGHVIEW RD
Second Line	:
City	:	POUND RIDGE
State	:	NY
Zip	:	10576-1311
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 HIGHVIEW RD
Second Line	:
City	:	POUND RIDGE
State	:	NY
Zip	:	10576-1311
Country	:	US
Telephone Number	:	310-938-4953
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2018
Last Update Date	:	06/10/2018

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