Provider Demographics
NPI:1801588553
Name:MCDONALD, CAITLIN HEATHER (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:HEATHER
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 ANHINGA LN
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8338
Mailing Address - Country:US
Mailing Address - Phone:561-843-0475
Mailing Address - Fax:
Practice Address - Street 1:201 ANHINGA LN
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-8338
Practice Address - Country:US
Practice Address - Phone:561-843-0475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist