Provider Demographics
NPI:1598382814
Name:NEWLAND, CAROLINE ELYSE (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:ELYSE
Last Name:NEWLAND
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5841 FORT HENRY DR
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:TN
Mailing Address - Zip Code:37341-9416
Mailing Address - Country:US
Mailing Address - Phone:423-400-6077
Mailing Address - Fax:
Practice Address - Street 1:5841 FORT HENRY DR
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:TN
Practice Address - Zip Code:37341-9416
Practice Address - Country:US
Practice Address - Phone:423-400-6077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5724225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist