Individual
HENRY DANIEL DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
15 TOWN WEST RD, PLYMOUTH, NH 03264-3428
(603) 536-2941
(603) 536-2949
Mailing address
790 LAKE ST, BRISTOL, NH 03222-4548
(603) 744-0275
(603) 744-9378
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1313
NH
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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