Individual
KATHLEEN TERESE MAGINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3300 HIGH ST, PORTSMOUTH, VA 23707-3321
(757) 673-5689
(757) 673-5678
Mailing address
PO BOX 7014, PORSTMOUTH, VA 23707-7014
(757) 377-3968
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
225X00000X
Occupational Therapist
Primary
0119004251
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00450670
MEDICARE RR
VA
Enumeration date
09/27/2007
Last updated
07/05/2020
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