Individual
MRS. CATHERINE ELAINE MCDONOUGH
Active
Individual
MRS. CATHERINE ELAINE MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0119001487
VA
225X00000X
Occupational Therapist
Primary
0119001487
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103836
ANTHEM BLUE CROSS
—
01
—
11454099
CAQH
—
01
—
35062
OPTIMA
—
01
—
4980093
VIRGINIA PREMIER HEALTH
—
05
—
4980093
—
VA
01
—
6400313
UNITED HEALTH CARE
—
01
—
7542588
AETNA
—
01
—
9116460
MEDICAID DME
VA
Enumeration date
11/14/2005
Last updated
02/15/2023
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