Individual
KAYLA MARIE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
29770 THREE NOTCH ROAD, SUITE 201, CHARLOTTE HALL, MD 20622
(301) 290-0800
(301) 290-1313
Mailing address
10535 WELCH FAMILY FARM PLACE, CHARLOTTE HALL, MD 20622
(301) 290-0800
(301) 290-1313
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08510
MD
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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