Provider Demographics
NPI:1699040287
Name:MCLAUGHLIN, CYNTHIA ANN (PTA,)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:ANN
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:PTA,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5846 GRIFFIN ST
Mailing Address - Street 2:PO BOX 452
Mailing Address - City:SANBORN
Mailing Address - State:NY
Mailing Address - Zip Code:14132-9292
Mailing Address - Country:US
Mailing Address - Phone:716-870-3350
Mailing Address - Fax:
Practice Address - Street 1:4124 SAUNDERS SETTLEMENT RD
Practice Address - Street 2:
Practice Address - City:SANBORN
Practice Address - State:NY
Practice Address - Zip Code:14132-9523
Practice Address - Country:US
Practice Address - Phone:800-836-7510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005553-1 PTA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist