Provider Demographics
NPI:1669859039
Name:MCGRATH, EMILY ANN
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:ANN
Last Name:MCGRATH
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 1:8750 BRADLEY FORGE DR
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20112-4527
Mailing Address - Country:US
Mailing Address - Phone:703-459-0105
Mailing Address - Fax:
Practice Address - Street 1:8750 BRADLEY FORGE DR
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20112-4527
Practice Address - Country:US
Practice Address - Phone:703-459-0105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist