Provider Demographics
NPI:1922215110
Name:MCNAMARA, JAMES (MS OTR)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:MCNAMARA
Suffix:
Gender:M
Credentials:MS OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 WALDEN LN
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:VA
Mailing Address - Zip Code:22844-3825
Mailing Address - Country:US
Mailing Address - Phone:540-740-3709
Mailing Address - Fax:
Practice Address - Street 1:315 E LEE HWY
Practice Address - Street 2:
Practice Address - City:NEW MARKET
Practice Address - State:VA
Practice Address - Zip Code:22844-3103
Practice Address - Country:US
Practice Address - Phone:540-740-8041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119003604225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist