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Individual

MS. CAITLIN ELIZABETH MCKINNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
300 BIRNIE AVE, SUITE 304, SPRINGFIELD, MA 01107-1107
(413) 781-1054
(413) 439-0026
Mailing address
80 DENSLOW RD, EAST LONGMEADOW, MA 01028-3103
(413) 526-9969
(413) 526-9960

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9121
MA
225XH1200X
Hand Occupational Therapist
9121
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043527497
HNE
MA
01
103355100
DEPT. OF LABOR
MA
01
35265
BMC
MA
01
64-04290
UNITED HEALTH CARE
MA
01
690675
TUFTS
MA
05
9715568
MA
01
972730
NETWORK HELATH
MA
01
AA49027
HARVARD PILGRIM
MA
01
OT0011
BC/BS OF MA
MA
Enumeration date
07/30/2006
Last updated
05/18/2009
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