Provider Demographics
NPI:1275257370
Name:BAUGHMAN, CARALINE ASPEN (OTR/L)
Entity Type:Individual
Prefix:
First Name:CARALINE
Middle Name:ASPEN
Last Name:BAUGHMAN
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 1:6504 GUNPOWDER LN
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-8303
Mailing Address - Country:US
Mailing Address - Phone:502-689-2342
Mailing Address - Fax:
Practice Address - Street 1:6504 GUNPOWDER LN
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:KY
Practice Address - Zip Code:40059-8303
Practice Address - Country:US
Practice Address - Phone:502-689-2342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY281132225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist