Provider Demographics
NPI:1558766816
Name:COUTTS, CALINE (OTR/L)
Entity Type:Individual
Prefix:
First Name:CALINE
Middle Name:
Last Name:COUTTS
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 1:65 LONGVIEW RD
Mailing Address - Street 2:
Mailing Address - City:VINEYARD HAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02568-6909
Mailing Address - Country:US
Mailing Address - Phone:508-864-5107
Mailing Address - Fax:
Practice Address - Street 1:65 LONGVIEW RD
Practice Address - Street 2:
Practice Address - City:VINEYARD HAVEN
Practice Address - State:MA
Practice Address - Zip Code:02568-6909
Practice Address - Country:US
Practice Address - Phone:508-864-5107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-29
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9333225XP0019X
MD225XP0019X
PA225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation