Individual
KIMBERLY DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 NORRISTOWN RD STE 220, AMBLER, PA 19002-2793
(215) 656-5400
Mailing address
251 FOX RD, MOHRSVILLE, PA 19541-9767
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC006109L
PA
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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