Individual
BRENDA DOOLEY
Active
Individual
BRENDA DOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009983
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001697605-0008
—
PA
01
—
0247464000
IBC
PA
01
—
30068870
KEYSTONE MERCY
PA
01
—
306142
UNISON
—
01
—
50065703
CAPITAL BLUE CROSS
PA
01
—
68640
HIGHMARK PABS
PA
Enumeration date
07/17/2006
Last updated
01/31/2011
Update your record
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