Individual
MISS ANN M. DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
105 CROTTY RD, MIDDLETOWN, NY 10941-4001
(845) 695-1817
Mailing address
105 CROTTY RD, MIDDLETOWN, NY 10941-4001
(845) 695-1817
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002212-1
NY
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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