| Doctor Name: | PATRICIA MCSULEY |
| NPI Number: | 1043581630 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 5862795091217 |
| Business Practice Address: | 1449 Boardman Canfield Rd Boardman, OH - 445128061 |
| Business Phone Number: | 3307297777 |
| Business Fax Number: | |
| Mailing Address: | 92 Woodview Ave, BOARDMAN |
| State: | OH |
| Postal Code: | 445124647 |
| Phone Number: | 3302077112 |
| Fax Number: | |
| NPI Enumeration Date: | 01/13/2012 |
| NPI Last Update Date: | 01/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | 5862795091217 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |