Individual
JOSEPH DOUGHERTY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
401 HAZLE TOWNSHIP BLVD, HAZLE TOWNSHIP, PA 18202-9661
(570) 454-8888
Mailing address
401 HAZLE TOWNSHIP BLVD, HAZLE TOWNSHIP, PA 18202-9661
(570) 454-8888
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1003543
PA
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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