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Individual

MRS. CHERIE CASING KEOGH-DODGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., OTR/L

Contact information

Practice address
398 BLUE JAY DR, LIBERTY, MO 64068-1977
(816) 407-2315
(816) 407-1555
Mailing address
2609 GLENN HENDREN DR, LIBERTY, MO 64068
(816) 407-4555
(816) 781-6973

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2014034968
MO
225X00000X
Occupational Therapist
5067-026
WI
225XH1200X
Hand Occupational Therapist
13354
FL
225XH1200X
Hand Occupational Therapist
9759
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
860400014
MEDICARE
WI
Enumeration date
05/19/2008
Last updated
03/15/2018
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