Individual
MS. KARA BETH DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2024 BAKER AVE, UTICA, NY 13501-5711
(315) 941-7663
Mailing address
2024 BAKER AVE, UTICA, NY 13501-5711
(315) 941-7663
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
019718
NY
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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