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NPI Code Detail

MEDICARE: MRS. COLLEEN ELLEN MCGUINESS OTR

MEDICARE: MRS. COLLEEN ELLEN MCGUINESS OTR
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
1225X00000XOccupational Therapist8557MA

General Provider Information

NPI Number : 1184834590
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. COLLEEN ELLEN MCGUINESS OTR
Provider Business Mailing Address
First Line : 109 PAINE ST
Second Line :
City : WORCESTER
State : MA
Zip : 01605-3337
Country : US
Telephone Number : 508-792-2373
Fax Number :
Provider Business Practice Location Address
First Line : 80 DEACONESS RD
Second Line :
City : CONCORD
State : MA
Zip : 01742-4113
Country : US
Telephone Number : 978-369-5151
Fax Number : 978-369-0722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/08/2007

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