Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT0000000079 | TN |
NPI | 1386940112 |
---|---|
Provider Name | Marilyn C. Mclaughlin |
First Address | Cottontown, TN 37048-5021 |
Second Address | Cottontown, TN 37048-5021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2011 |
Last Update Date | 26/01/2011 |