McKenna Wilkie Coulbourn, OTR/L
Individual provider Active NPI Occupational Therapist · Rowley, MA
NPI 1720514136 · NPPES record last updated Feb 22, 2023
Key facts
- NPI
- 1720514136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 12315 (MA)
- Practice address
- 28 Forest Ridge Dr
Rowley, MA 01969-2150 - Phone
- (978) 430-8929
- NPI assigned
- May 4, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12315 | MA | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12315 | MA | Yes |
| Pediatric Occupational Therapist | 225XP0200X | 12315 | MA |
Addresses
Primary practice location
28 Forest Ridge Dr
Rowley, MA 01969-2150
Mailing address
117 Maple St
Wenham, MA 01984-1926
Phone (978) 430-8929
Other providers in Rowley, MA
- Comstar
- Elena Connors
- Continence Connection, LLC
- Jennifer Cornelius
- Cornerstone Family Practice
- Danielle Coulombe
- Patricia Currie
- CVS Pharmacy Inc
- Jeanna M Deleo
- Ruth Elizabeth Delisio
All providers in Rowley, MA · Occupational Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.