Individual
KATHLEEN MAGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4997 ROYAL GULF CIR, FORT MYERS, FL 33966-7006
(239) 313-5049
Mailing address
4997 ROYAL GULF CIR, FORT MYERS, FL 33966-7006
(239) 313-5049
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT19958
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19985
STATE LICENSE
FL
Enumeration date
11/02/2020
Last updated
11/27/2023
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