Individual
MR. TIMOTHY PATRICK DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1829 EAST FRANKLIN STREET, BLDG. # 600, CHAPEL HILL, NC 27514
(919) 968-3456
(919) 932-3456
Mailing address
1829 EAST FRANKLIN STREET, BLDG. # 600, CHAPEL HILL, NC 27514
(919) 968-3456
(919) 932-3456
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4987
NC
225XP0200X
Pediatric Occupational Therapist
4987
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1387G
BLUE CROSS
NC
05
—
7301786
—
NC
Enumeration date
03/14/2007
Last updated
09/11/2025
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