Provider Demographics
NPI:1881104099
Name:MCGUIRE, TRISH LEE (OTR/L)
Entity type:Individual
Prefix:
First Name:TRISH
Middle Name:LEE
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 W PLUMB LANE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509
Mailing Address - Country:US
Mailing Address - Phone:775-853-7513
Mailing Address - Fax:775-853-7523
Practice Address - Street 1:540 W PLUMB LANE
Practice Address - Street 2:SUITE 201
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509
Practice Address - Country:US
Practice Address - Phone:775-853-7513
Practice Address - Fax:775-853-7523
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-03
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV17-0926225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist