Alicia Dougherty, MS, OTR/L is a
Occupational Therapist - Pediatrics based in New Ringgold, Pennsylvania. Alicia Dougherty is licensed to practice in Pennsylvania (license number OC010331) and her current practice location is
1 Diana Ln, New Ringgold, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 233-7939.
NPI number for Alicia Dougherty is 1336470996 and her current mailing address is 1 Diana Ln, New Ringgold, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336470996.
Healthcare Provider's Profile
Full Name | Alicia Dougherty |
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Gender | Female |
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Speciality | Occupational Therapist - Pediatrics |
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Location | 1 Diana Ln, New Ringgold, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336470996
- Provider Enumeration Date: 01/21/2010
- Last Update Date: 09/26/2015
Medical Identifiers
Medical identifiers for Alicia Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336470996 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0200X | Occupational Therapist - Pediatrics | OC010331 (Pennsylvania) | Primary |
225X00000X | Occupational Therapist | OC010331 (Pennsylvania) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alicia Dougherty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alicia Dougherty, MS, OTR/L 1 Diana Ln, New Ringgold, PA 17960-8566 Ph: (570) 233-7939 | Alicia Dougherty, MS, OTR/L 1 Diana Ln, New Ringgold, PA 17960-8566 Ph: (570) 233-7939 |
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