Individual
MRS. ALLISON DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15387 AVENUE 280, VISALIA, CA 93292-9716
(559) 592-7117
Mailing address
15387 AVENUE 280, VISALIA, CA 93292-9716
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 21892
CA
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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