Individual
JORDAN MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2396 WESSINGTON DR, VIRGINIA BEACH, VA 23454-6308
(703) 927-8843
Mailing address
2396 WESSINGTON DR, VIRGINIA BEACH, VA 23454-6308
(703) 927-8843
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YTR069A80286
ANTHEM HEALTHKEEPERS
VA
Enumeration date
07/28/2014
Last updated
07/28/2014
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