Individual
TRACY L MCLOUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
14 RESEARCH WAY, EAST SETAUKET, NY 11733-3453
(631) 331-6400
Mailing address
108 BURNEY BLVD, MASTIC, NY 11950-1337
(631) 772-2215
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006886-1
NY
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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