Individual
MRS. AMY MARIE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
102 PINNACLE CT, KITTY HAWK, NC 27949
(252) 255-5348
(252) 255-5348
Mailing address
102 PINNACLE CT, KITTY HAWK, NC 27949
(252) 255-5348
(252) 255-5348
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2399
NC
Other
Enumeration date
08/03/2006
Last updated
09/01/2010
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