Provider Demographics
NPI:1376775411
Name:MCGRATH, JOSEPH EDWARD (ATC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:EDWARD
Last Name:MCGRATH
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 ASHLEY DR
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-8839
Mailing Address - Country:US
Mailing Address - Phone:717-371-3523
Mailing Address - Fax:
Practice Address - Street 1:901 IRONVILLE PIKE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:PA
Practice Address - Zip Code:17512-9513
Practice Address - Country:US
Practice Address - Phone:717-684-7500
Practice Address - Fax:717-681-2219
Is Sole Proprietor?:No
Enumeration Date:2009-08-21
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0046322255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer