Provider Demographics
NPI:1831967033
Name:MCCAFFERY, CAROLINE P (OTR/L)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:P
Last Name:MCCAFFERY
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 1:457 BROOKSIDE PL
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-1634
Mailing Address - Country:US
Mailing Address - Phone:908-956-1054
Mailing Address - Fax:
Practice Address - Street 1:333 N BROAD ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-3706
Practice Address - Country:US
Practice Address - Phone:732-313-3939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01160300225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist