Provider Demographics
NPI:1073393310
Name:MCGRATH, PATRICK (PTA)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:MCGRATH
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 RIVULET ST
Mailing Address - Street 2:
Mailing Address - City:UXBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01569-3134
Mailing Address - Country:US
Mailing Address - Phone:508-278-2002
Mailing Address - Fax:
Practice Address - Street 1:44 RIVULET ST
Practice Address - Street 2:
Practice Address - City:UXBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01569-3134
Practice Address - Country:US
Practice Address - Phone:508-278-2002
Practice Address - Fax:508-278-3522
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10085225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant