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Individual

MEAGHAN KATHLEEN MORIARTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
723 INSIGHT AVE, O FALLON, IL 62269-2196
(618) 607-0086
(618) 607-0042
Mailing address
723 INSIGHT AVE, O FALLON, IL 62269-2196
(618) 607-0086
(618) 607-0042

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014029
IL
225X00000X
Occupational Therapist
2021005857
MO

Other

Enumeration date
03/12/2021
Last updated
07/28/2023
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