Provider Demographics
NPI:1033315312
Name:MCGUIRE, MAUREEN RUTH (COTA)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:RUTH
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 HILL ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-2967
Mailing Address - Country:US
Mailing Address - Phone:717-852-0404
Mailing Address - Fax:
Practice Address - Street 1:819 HILL ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-2967
Practice Address - Country:US
Practice Address - Phone:717-852-0404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP001645L224Z00000X
NM2146224Z00000X
NC6227224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant