Ms. Jenny Lauren Daugherty
Occupational Therapist - Physical Rehabilitation
5000 S 5th Ave
Hines
, Illinois 60141-3030
Ms. Jenny Lauren Daugherty
Occupational Therapist - Physical Rehabilitation
5000 S 5th Ave
Hines
, Illinois 60141-3030
(269) 369-3057
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Ms. Jenny Lauren Daugherty
- 5000 S 5th Ave
- Hines, IL
- Zip : 60141-3030
- Phone : (269) 369-3057
Second Address
- Ms. Jenny Lauren Daugherty
- 5000 S 5th Ave
- Hines, IL
- Zip : 60141-3030
- Phone : (269) 369-3057
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 056.009092 | IL |
National Provider Identifier
| NPI | 1225344641 |
|---|---|
| Provider Name | Ms. Jenny Lauren Daugherty |
| First Address | Hines, IL 60141-3030 |
| Second Address | Hines, IL 60141-3030 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/08/2010 |
| Last Update Date | 23/08/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.