Provider Demographics
NPI:1336267558
Name:GILROY, MAUREEN (OT)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:GILROY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ARCHBALD
Mailing Address - State:PA
Mailing Address - Zip Code:18403-2287
Mailing Address - Country:US
Mailing Address - Phone:570-876-4887
Mailing Address - Fax:
Practice Address - Street 1:476 BELMONT ST
Practice Address - Street 2:
Practice Address - City:WAYMART
Practice Address - State:PA
Practice Address - Zip Code:18472-9304
Practice Address - Country:US
Practice Address - Phone:570-488-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC009183225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist