National Provider Identifier
Susan Ellen McGrath, OTR/L
Susan Ellen McGrath, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Fredonia, NY and a listed phone number of (716) 672-0294.
Profile Overview
- NPI
- 1366690273
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- September 04, 2008
- Last Updated
- August 02, 2012
Practice Location
- 50 Howard St
- Fredonia, NY 14063-2152
Phone: (716) 672-0294
Mailing Address
- 20 Peachtree Ct
- Suite 105
- Holbrook, NY 11741-4616
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1366690273
- Entity Type
- Individual
- Last Name
- McGrath
- First Name
- Susan
- Middle Name
- Ellen
- Credential
- OTR/L
- Provider Other Last Name
- Shumaker,Skinner
- Provider Other First Name
- Susan
- Provider Other Middle Name
- Ellen
- Provider Other Credential Text
- OTR/L
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 20 Peachtree Ct
- Mailing Address Line 2
- Suite 105
- Mailing City
- Holbrook
- Mailing State
- NY
- Mailing ZIP Code
- 11741-4616
- Mailing Country
- US
- Mailing Phone
- (631) 467-3700
- Mailing Fax
- (631) 467-0928
- Practice Street Address
- 50 Howard St
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-2152
- Practice Country
- US
- Practice Phone
- (716) 672-0294
- Practice Fax
- (716) 672-0294
- Enumeration Date
- September 04, 2008
- Last Updated
- August 02, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)