Provider Demographics
NPI:1306142831
Name:MCNAUGHTON, PATRICIA ANN (OTR/L)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANN
Last Name:MCNAUGHTON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9323 SHORE RD
Mailing Address - Street 2:APT. 4G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-6662
Mailing Address - Country:US
Mailing Address - Phone:716-440-2644
Mailing Address - Fax:718-238-8834
Practice Address - Street 1:9323 SHORE RD
Practice Address - Street 2:APT. 4G
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-6662
Practice Address - Country:US
Practice Address - Phone:716-440-2644
Practice Address - Fax:718-238-8834
Is Sole Proprietor?:No
Enumeration Date:2011-01-31
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012470-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist