Provider Demographics
NPI:1134187677
Name:MCLAUGHLIN, CAROLINE ELIZABETH (PT)
Entity type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:ELIZABETH
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:240 BUTEO RDG
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-9326
Mailing Address - Country:US
Mailing Address - Phone:919-542-0380
Mailing Address - Fax:919-542-7288
Practice Address - Street 1:240 BUTEO RDG
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-9326
Practice Address - Country:US
Practice Address - Phone:919-542-0380
Practice Address - Fax:919-542-7288
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2301225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7211526Medicaid
NC138H4OtherBLUE CROSS/BLUE SHIELD