Linda M Duggan, OTRL

Individual provider Active NPI Occupational Therapist · Sullivan, MO

NPI 1861600686 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1861600686
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
000233 (MO)
Practice address
875 Dunsford Dr
Sullivan, MO 63080-1238
Phone
(573) 468-3128
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
000233MOMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 000233 MO Yes

Addresses

Primary practice location

875 Dunsford Dr
Sullivan, MO 63080-1238

Mailing address

32 Cherokee LN
Union, MO 63084-4202
Phone (636) 584-7781

Other providers in Sullivan, MO

All providers in Sullivan, MO · Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.