Individual
KATHLEEN DOUGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
330 PRIMROSE HILL RD, RHINEBECK, NY 12572-2667
(845) 269-7054
Mailing address
330 PRIMROSE HILL RD, RHINEBECK, NY 12572-2667
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008172-1
NY
Other
Enumeration date
08/31/2013
Last updated
08/31/2013
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