MEDICARE: TORI MCGAUGHEY

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	225X00000X	Occupational Therapist	5201013664	MI

General Provider Information

NPI Number	:	1114799475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TORI MCGAUGHEY

Provider Business Mailing Address
First Line	:	7695 CORTLAND AVE
Second Line	:
City	:	ALLEN PARK
State	:	MI
Zip	:	48101-2213
Country	:	US
Telephone Number	:	734-552-8239
Fax Number	:

Provider Business Practice Location Address
First Line	:	6710 W MAPLE RD
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3014
Country	:	US
Telephone Number	:	971-366-7039
Fax Number	:

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

Provider Enumeration Date	:	10/30/2023
Last Update Date	:	01/05/2026

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Directions to “ TORI MCGAUGHEY ” Practice Location

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