Provider Demographics
NPI:1376136358
Name:MCGHEE, MAGGIE MARIE
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:MARIE
Last Name:MCGHEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 KIMBRO AVE
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:TX
Mailing Address - Zip Code:76226-1129
Mailing Address - Country:US
Mailing Address - Phone:972-746-0902
Mailing Address - Fax:
Practice Address - Street 1:804 KIMBRO AVE
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:TX
Practice Address - Zip Code:76226-1129
Practice Address - Country:US
Practice Address - Phone:972-746-0902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist