Provider Demographics
NPI:1447050133
Name:MCCAULEY, CAROLINE MILLER (OTD, OTR)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:MILLER
Last Name:MCCAULEY
Suffix:
Gender:
Credentials:OTD, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 WHITE HORSE ROAD EXT
Mailing Address - Street 2:
Mailing Address - City:TRAVELERS REST
Mailing Address - State:SC
Mailing Address - Zip Code:29690-9303
Mailing Address - Country:US
Mailing Address - Phone:864-915-9936
Mailing Address - Fax:
Practice Address - Street 1:706 WHITE HORSE ROAD EXT
Practice Address - Street 2:
Practice Address - City:TRAVELERS REST
Practice Address - State:SC
Practice Address - Zip Code:29690-9303
Practice Address - Country:US
Practice Address - Phone:864-915-9936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
NC225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist