Individual
MICHELE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1768 BUSINESS CENTER DR STE 330, RESTON, VA 20190-4882
(186) 691-9324
Mailing address
10150 VILLAGE KNOLLS CT, OAKTON, VA 22124-2728
(914) 471-0176
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119008061
VA
Other
Enumeration date
12/22/2015
Last updated
08/17/2023
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