Provider Demographics
NPI:1902020407
Name:MCLAUGHLIN, JEFFREY D (OT)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:D
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 436
Mailing Address - Street 2:1320 4TH
Mailing Address - City:HAMPTON
Mailing Address - State:IA
Mailing Address - Zip Code:50441-1104
Mailing Address - Country:US
Mailing Address - Phone:641-357-5056
Mailing Address - Fax:
Practice Address - Street 1:509 BUDDY HOLLY PLACE
Practice Address - Street 2:
Practice Address - City:CLEAR LAKE
Practice Address - State:IA
Practice Address - Zip Code:50428-1359
Practice Address - Country:US
Practice Address - Phone:641-357-5056
Practice Address - Fax:641-592-2226
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00371225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist