Provider Demographics
NPI:1356544480
Name:MCGRATH, WILLIAM L (OTRL)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:L
Last Name:MCGRATH
Suffix:
Gender:M
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10206 CALUMET DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4602
Mailing Address - Country:US
Mailing Address - Phone:301-593-8381
Mailing Address - Fax:
Practice Address - Street 1:4041 POWDER MILL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-3106
Practice Address - Country:US
Practice Address - Phone:301-931-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04502225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist