Individual
LAURA SEMON DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 298-7018
Mailing address
334 PATRIOT DR, LOGAN TOWNSHIP, NJ 08085-4254
(601) 209-6454
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J1-0002369
DE
174400000X
Specialist
PT013595L
PA
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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