Individual
PAUL ANTHONY DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
840 HARLEYSVILLE PIKE STE 4, HARLEYSVILLE, PA 19438-1028
(267) 389-9218
Mailing address
840 HARLEYSVILLE PIKE STE 4, HARLEYSVILLE, PA 19438-1028
(267) 389-9218
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTOO6271
PA
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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