Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 12311 | MA |
NPI | 1003343328 |
---|---|
Provider Name | Cara Rose Mclaughlin |
First Address | Malden, MA 02148-2439 |
Second Address | Worcester, MA 01608-1893 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2017 |
Last Update Date | 17/05/2017 |