Provider Demographics
NPI:1588625891
Name:MCLAUGHLIN, SARA LYNNE (MSPT)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:LYNNE
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:LYNNE
Other - Last Name:SHAUGHNESSY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:203 OAK ST
Mailing Address - Street 2:REBOUND PHYSICAL THERAPY
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-1306
Mailing Address - Country:US
Mailing Address - Phone:508-651-0051
Mailing Address - Fax:
Practice Address - Street 1:203 OAK ST
Practice Address - Street 2:REBOUND PHYSICAL THERAPY
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-1306
Practice Address - Country:US
Practice Address - Phone:508-651-0051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2010-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15193225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY69722Medicare ID - Type Unspecified