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Organization
PROJECT CHILLD LLC
Active
Organization
PROJECT CHILLD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN ANN CARLEY M.S. O.T.R. L. (OWNER-DIRECTOR)
(978) 232-0332
Entity
Organization
Contact information
Practice address
500 CUMMINGS CTR, SUITE 3850, BEVERLY, MA 01915-6142
(978) 232-0332
(978) 232-1103
Mailing address
500 CUMMINGS CTR, SUITE 3850, BEVERLY, MA 01915-6142
(978) 232-0332
(978) 232-1103
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OG0033
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/25/2007
Last updated
04/24/2008
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