Provider Demographics
NPI:1669724381
Name:AUBUCHON, CAROLYN CELESTE (OTR/L)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:CELESTE
Last Name:AUBUCHON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6612 RENWICK CT
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-1482
Mailing Address - Country:US
Mailing Address - Phone:513-779-6802
Mailing Address - Fax:
Practice Address - Street 1:6612 RENWICK CT
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-1482
Practice Address - Country:US
Practice Address - Phone:513-779-6802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT. 6574225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation