Individual
MRS. VANESSA LYNNE MCLAUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(180) 033-5106
Mailing address
19501 LAKE SHORE DR APT 3S, LYNWOOD, IL 60411-1491
(708) 250-8024
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002824A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224Z00000X
OCCUPATIONAL THERAPY ASSISTANT
IN
Enumeration date
04/10/2015
Last updated
04/10/2015
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