MEDICARE: EMILY T MCLANE 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	13467	MA

General Provider Information

NPI Number	:	1346880416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY T MCLANE OTR/L

Provider Business Mailing Address
First Line	:	267 TUTTLE PKWY
Second Line	:
City	:	WESTFIELD
State	:	NJ
Zip	:	07090-4022
Country	:	US
Telephone Number	:	908-377-9316
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 ELM ST UNIT 8
Second Line	:
City	:	FOXBOROUGH
State	:	MA
Zip	:	02035-2504
Country	:	US
Telephone Number	:	508-208-8438
Fax Number	:

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

Provider Enumeration Date	:	01/07/2020
Last Update Date	:	01/07/2020

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