Provider Demographics
NPI:1750166567
Name:SAKKINEN, CAITLIN M
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:M
Last Name:SAKKINEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:M
Other - Last Name:MOLLOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:285 PLANTATION ST APT 124
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-7726
Mailing Address - Country:US
Mailing Address - Phone:475-209-1160
Mailing Address - Fax:
Practice Address - Street 1:340 MAPLE ST STE 203
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-3200
Practice Address - Country:US
Practice Address - Phone:508-624-0391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist