MEDICARE: MELANIE DONOUGHE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	008386	OH

General Provider Information

NPI Number	:	1407554280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE DONOUGHE

Provider Business Mailing Address
First Line	:	3563 FRANKLIN RD
Second Line	:
City	:	STOW
State	:	OH
Zip	:	44224-4020
Country	:	US
Telephone Number	:	216-536-2567
Fax Number	:

Provider Business Practice Location Address
First Line	:	6090 ROYALTON RD # 190
Second Line	:
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133-5104
Country	:	US
Telephone Number	:	330-998-5392
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2023
Last Update Date	:	03/03/2026

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Directions to “ MELANIE DONOUGHE ” Practice Location

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