Provider Demographics
NPI:1588430029
Name:MCLAUGHLIN, NICOLE (OTR/L, CBIS)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:OTR/L, CBIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2168 SUSQUEHANNA RD
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-4420
Mailing Address - Country:US
Mailing Address - Phone:215-900-7789
Mailing Address - Fax:
Practice Address - Street 1:BEECHWOOD NEUROREHAB
Practice Address - Street 2:469 E MAPLE AVE
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-750-4001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist