Provider Demographics
NPI:1386940112
Name:MCLAUGHLIN, MARILYN C (OTR)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:C
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2238 HIGHWAY 25
Mailing Address - Street 2:
Mailing Address - City:COTTONTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37048-5021
Mailing Address - Country:US
Mailing Address - Phone:615-838-5661
Mailing Address - Fax:
Practice Address - Street 1:2238 HIGHWAY 25
Practice Address - Street 2:
Practice Address - City:COTTONTOWN
Practice Address - State:TN
Practice Address - Zip Code:37048-5021
Practice Address - Country:US
Practice Address - Phone:615-838-5661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOT0000000079225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation