Healthcare Provider Details

I. General information

NPI: 1447478276
Provider Name (Legal Business Name): CARA MEGHAN STRACCIONE OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E CARROLL ST
SALISBURY MD
21801-5422
US

IV. Provider business mailing address

22 CANNON DR
OCEAN PINES MD
21811-1730
US

V. Phone/Fax

Practice location:
  • Phone: 410-543-6400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number05294
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: