Provider Demographics
NPI:1932356979
Name:MCGRATH, JOY ANN (MS OTR)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:ANN
Last Name:MCGRATH
Suffix:
Gender:F
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 1:5188 BEECH AVE
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49006-1984
Mailing Address - Country:US
Mailing Address - Phone:269-365-9635
Mailing Address - Fax:
Practice Address - Street 1:1400 NORTH DRAKE ROAD
Practice Address - Street 2:FRIENDSHIP VILLAGE OF KALAMAZOO
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49006
Practice Address - Country:US
Practice Address - Phone:269-381-0560
Practice Address - Fax:269-381-4537
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201006206225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5201006206OtherSTATE REGISTRATION