Individual
HEATHER MARIE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
501 SE FLOWER MOUND RD, LAWTON, OK 73501-6388
(580) 351-6511
Mailing address
13579 NE CORNWALLIS DR, ELGIN, OK 73538-5010
(405) 623-0164
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5241
OK
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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