Individual
CASEY DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2854 BELL ST, ZANESVILLE, OH 43701-1721
(740) 454-6022
(740) 588-1081
Mailing address
2854 BELL ST, ZANESVILLE, OH 43701-1721
(740) 454-6022
(740) 588-1081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014007
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014007
PT LICENCE
OH
Enumeration date
08/17/2015
Last updated
08/17/2015
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