Provider Demographics
NPI:1639473119
Name:MCGRANE, LINDA A (MS, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:A
Last Name:MCGRANE
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87A W LAUREL AVE
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:CHELTENHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19012-2046
Mailing Address - Country:US
Mailing Address - Phone:215-663-5291
Mailing Address - Fax:
Practice Address - Street 1:87A W LAUREL AVE
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:CHELTENHAM
Practice Address - State:PA
Practice Address - Zip Code:19012-2046
Practice Address - Country:US
Practice Address - Phone:215-663-5291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-27
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC002689L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist