Individual
MRS. MARY CAROLYN DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
600 WILSON CREEK RD, LAWRENCEBURG, IN 47025-2751
(812) 532-2607
(812) 537-3514
Mailing address
710 BURGESS AVE, RISING SUN, IN 47040-9279
(812) 584-1386
(812) 537-3514
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003150A
IN
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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