| Doctor Name: | MR. GARRY R MACDONALD |
| NPI Number: | 1003850801 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OTRL |
| License Number: | OT10697 |
| Business Practice Address: | 1705 E Highway 50 Ste 1 Clermont, FL - 347115186 |
| Business Phone Number: | 3524044523 |
| Business Fax Number: | 3522438367 |
| Mailing Address: | Po Box 648, MINNEOLA |
| State: | FL |
| Postal Code: | 347550648 |
| Phone Number: | 3524044523 |
| Fax Number: | 3522438367 |
| NPI Enumeration Date: | 06/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XN1300X |
| License Number: | OT10697 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Neurorehabilitation |
| Taxonomy Definition: | |