Provider Demographics
NPI:1144351313
Name:MAGINNIS, SABRINA FORDHAM (ATC)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:FORDHAM
Last Name:MAGINNIS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:RAE
Other - Last Name:FORDHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:225 S. GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242
Mailing Address - Country:US
Mailing Address - Phone:478-697-3022
Mailing Address - Fax:
Practice Address - Street 1:225 SOUTH GRAND AVENUE
Practice Address - Street 2:E213B
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242
Practice Address - Country:US
Practice Address - Phone:319-335-9338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0788582255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer