Individual
MS. ANNETTE N DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT, CEASII, IASTM
Contact information
Practice address
329 PRIMROSE RD # 117385, BURLINGAME, CA 94010-4093
(415) 295-2014
Mailing address
329 PRIMROSE RD # 117385, BURLINGAME, CA 94010-4093
(415) 295-2014
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
23264
CA
2251X0800X
Orthopedic Physical Therapist
Primary
PT 23264
CA
Other
Enumeration date
12/03/2012
Last updated
12/15/2021
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