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NPI Code Detail

MEDICARE: GAIL ELIZABETH MCLAUGHLIN O.T.

MEDICARE: GAIL ELIZABETH MCLAUGHLIN O.T.
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
1225X00000XOccupational Therapist005267-1NY

General Provider Information

NPI Number : 1447468400
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAIL ELIZABETH MCLAUGHLIN O.T.
Provider Business Mailing Address
First Line : 14 MACARTHUR RD
Second Line :
City : BALDWINSVILLE
State : NY
Zip : 13027-1127
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4101 E GENESEE ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13214-2136
Country : US
Telephone Number : 315-446-9111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 07/08/2007

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