Individual
MEGAN DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10000 W 75TH ST STE 250, MERRIAM, KS 66204-2218
(636) 458-4126
Mailing address
16257 BERRY VIEW CT, WILDWOOD, MO 63011-2078
(636) 458-4126
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2018035294
MO
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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