Individual
MRS. KIMBERLY A. DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1120 YORK RD, WILLOW GROVE, PA 19090-1334
(215) 366-5978
(215) 366-5956
Mailing address
695 MAIN ST, #400, HARLEYSVILLE, PA 19438-1671
(215) 366-5978
(215) 366-5956
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC004544L
PA
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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