MEDICARE: CAITLIN ROSE MCHENRY OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	24331	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538849427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN ROSE MCHENRY OTR/L

Provider Business Mailing Address
First Line	:	1301 NE RESERVE TRL
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-6494
Country	:	US
Telephone Number	:	508-400-7499
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 NE RESERVE TRL
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-6494
Country	:	US
Telephone Number	:	508-400-7499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2023
Last Update Date	:	07/24/2023

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Directions to “ CAITLIN ROSE MCHENRY OTR/L” Practice Location

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