Provider Demographics
NPI:1891873105
Name:MCGEE, PATRICIA GAGNON (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:GAGNON
Last Name:MCGEE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:GAGNON
Other - Last Name:POSPISIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 ORTHOPEDICS DR
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-1668
Mailing Address - Country:US
Mailing Address - Phone:978-468-7043
Mailing Address - Fax:
Practice Address - Street 1:1 ORTHOPEDIC DR
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-1668
Practice Address - Country:US
Practice Address - Phone:978-854-4838
Practice Address - Fax:978-854-4839
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1731225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1731OtherOT LICENSE