Provider Demographics
NPI:1235165853
Name:MCADOO, JOAN (OT)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:MCADOO
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 GREENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-6920
Mailing Address - Country:US
Mailing Address - Phone:419-422-1716
Mailing Address - Fax:
Practice Address - Street 1:7595 COUNTY ROAD 236
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-8738
Practice Address - Country:US
Practice Address - Phone:419-422-1984
Practice Address - Fax:419-422-2326
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-1776225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9388184OtherPHCS
OHMC4110501OtherADMINISTAR FEDERAL
OH000000367830OtherANTHEM
OH04764OtherPARAMOUNT
OHP00204036OtherRR MEDICARE
OHMC4110501OtherADMINISTAR FEDERAL