Individual
MEGAN MAE FLAHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3827 W 108TH PL, CHICAGO, IL 60655-3910
(773) 680-6166
Mailing address
3827 W 108TH PL, CHICAGO, IL 60655-3910
(773) 680-6166
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056013946
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056013946
IL PROFESSIONAL LICENSE
IL
Enumeration date
11/25/2020
Last updated
11/25/2020
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