Provider Demographics
NPI:1295886109
Name:O'NEILL, CARINA JOY (DO)
Entity type:Individual
Prefix:DR
First Name:CARINA
Middle Name:JOY
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CARINA
Other - Middle Name:JOY
Other - Last Name:KRUEGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 GRANITE ST STE 104
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-3947
Mailing Address - Country:US
Mailing Address - Phone:617-952-6100
Mailing Address - Fax:617-952-6150
Practice Address - Street 1:SPAULDING REHABILITATION
Practice Address - Street 2:300 GRANITE STREET
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184
Practice Address - Country:US
Practice Address - Phone:176-952-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA221740208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation