Provider Demographics
NPI:1700851797
Name:MCGUIRE, MARY JOHANNA (MS OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:JOHANNA
Last Name:MCGUIRE
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Gender:F
Credentials:MS OTR/L
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Mailing Address - Street 1:50 BAKER BLVD
Mailing Address - Street 2:STE 4
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3635
Mailing Address - Country:US
Mailing Address - Phone:330-865-1926
Mailing Address - Fax:
Practice Address - Street 1:2735 CRAWFIS BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-2878
Practice Address - Country:US
Practice Address - Phone:330-865-1926
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-22
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHOT 3324225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation