Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 008535 | CT |
N | 2251X0800X | Physical Therapist - Orthopedic | 18361 | MA |
NPI | 1023245065 |
---|---|
Provider Name | Kathleen R Mccauley |
First Address | Amherst, MA 01002-2331 |
Second Address | Amherst, MA 01002-2331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2009 |
Last Update Date | 22/04/2015 |