Individual
KAYLA MCCONAGHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 DAIRY LN, FREDERICKSBURG, VA 22405-2663
(540) 371-9414
Mailing address
3000 GOFFS FALLS RD, MANCHESTER, NH 03103-6109
(800) 995-2673
(888) 979-6551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007959
VA
225X00000X
Occupational Therapist
091506
IA
225X00000X
Occupational Therapist
OT01772
RI
225X00000X
Occupational Therapist
OT60869339
WA
Other
Enumeration date
01/03/2019
Last updated
01/09/2019
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