Provider Demographics
NPI:1013781707
Name:DOLAN, CAITLIN IRENE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:IRENE
Last Name:DOLAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MRS
Other - First Name:CAITLIN
Other - Middle Name:IRENE
Other - Last Name:DOLAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:343 BUCKSKIN PATH
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02632-2205
Mailing Address - Country:US
Mailing Address - Phone:508-221-2865
Mailing Address - Fax:
Practice Address - Street 1:343 BUCKSKIN PATH
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02632-2205
Practice Address - Country:US
Practice Address - Phone:508-221-2865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA14493225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist