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NPI Code Detail

MEDICARE: JOAN MCADOO OT

MEDICARE: JOAN MCADOO OT
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 TherapistOT-1776OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5P00204036OTHEROHRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19388184OTHEROHPHCS
2MC4110501OTHEROHADMINISTAR FEDERAL
3000000367830OTHEROHANTHEM
404764OTHEROHPARAMOUNT

General Provider Information

NPI Number : 1235165853
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN MCADOO OT
Provider Business Mailing Address
First Line : 1900 GREENDALE AVE
Second Line :
City : FINDLAY
State : OH
Zip : 45840-6920
Country : US
Telephone Number : 419-422-1716
Fax Number :
Provider Business Practice Location Address
First Line : 7595 COUNTY ROAD 236
Second Line :
City : FINDLAY
State : OH
Zip : 45840-8738
Country : US
Telephone Number : 419-422-1984
Fax Number : 419-422-2326
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 07/08/2007

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Directions to “ JOAN MCADOO OT” Practice Location

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