Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 006605-1 | NY |
NPI | 1104218262 |
---|---|
Provider Name | Karin Mclaughlin |
First Address | Huntington Station, NY 11746-2806 |
Second Address | Melville, NY 11747-3316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2015 |
Last Update Date | 26/02/2015 |