Individual
STEPHANIE EMMA DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
05945
MD
225XP0019X
Physical Rehabilitation Occupational Therapist
05945
MD
Other
Enumeration date
09/27/2006
Last updated
10/15/2009
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