IndividualActive
Jenny Daugherty, MOT, OTR/L
NPI 1225344641 · Physical Rehabilitation Occupational Therapist · Hines, IL
Provider details
- NPI number
- 1225344641
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOT, OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 056.009092 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5000 S 5th Ave
Hines, IL 60141-3030
Phone: (269) 369-3057
Approximate (ZIP-level) locationGet directions
Mailing address
5000 S 5th Ave
Hines, IL 60141-3030
Registry dates
- Enumerated
- 2010-08-23
- Last updated
- 2010-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.