Provider Demographics
NPI:1861683310
Name:AUSTIN, CAROLYN M (OTR)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:M
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 BERKELEY ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-2801
Mailing Address - Country:US
Mailing Address - Phone:781-942-2521
Mailing Address - Fax:
Practice Address - Street 1:22 BERKELEY ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-2801
Practice Address - Country:US
Practice Address - Phone:781-942-2521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10225X00000X
251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No251J00000XAgenciesNursing Care