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Individual

MR. BRIAN CHRISTOPHER DOUGHERTY

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
3975 EMBASSY PARKWAY, SUITE 102, AKRON, OH 44333-1763
(330) 668-4080
(330) 665-1830
Mailing address
1925 MARKS AVE, AKRON, OH 44305
(330) 754-2406

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT11039
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2565595
OH
Enumeration date
05/23/2006
Last updated
07/08/2007
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