Individual
MS. JODY ANN DOCHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
15600 SAN PEDRO AVENUE, SUITE 307, SAN ANTONIO, TX 78232
(210) 494-2343
(210) 545-1657
Mailing address
3501 LATIMER DRIVE, AUSTIN, TX 78732
(512) 266-1618
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111651
TX
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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