# PROJECT CHILLD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366598310
- **Authorized official:** MS. KATHLEEN ANN CARLEY M.S. O.T.R. L. (OWNER-DIRECTOR)
- **Authorized official phone:** (978) 232-0332

## Contact information

- **Practice address:** 500 CUMMINGS CTR, SUITE 3850, BEVERLY, MA 01915-6142
- **Practice address phone:** (978) 232-0332
- **Practice address fax:** (978) 232-1103
- **Mailing address:** 500 CUMMINGS CTR, SUITE 3850, BEVERLY, MA 01915-6142
- **Mailing address phone:** (978) 232-0332
- **Mailing address fax:** (978) 232-1103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |
| 225XP0200X | Pediatric Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 04/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | OG0033 | BLUE CROSS BLUE SHIELD | MA |