Individual
MOLLY DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 N HIGHLANDS PKWY, TACOMA, WA 98406-2116
(253) 228-9732
Mailing address
4560 SE INTERNATIONAL WAY, SUITE 100, MILWAUKIE, OR 97222-4628
(253) 228-9732
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60647267
WA
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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