Individual
MISS MEGAN MACKENZIE DONNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT/L
Contact information
Practice address
1601 E MAIN ST # G, ST CHARLES, IL 60174-2431
(630) 880-0993
Mailing address
1601 E MAIN ST # G, ST CHARLES, IL 60174-2431
(630) 880-0993
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056016530
IL
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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