Individual
MISS JULIA ANN DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5333 N SHERIDAN RD, GENESIS REHAB SERVICES, THE BREAKERS, CHICAGO, IL 60640-7371
(773) 271-5189
Mailing address
6900 W 91ST ST, BRIDGEVIEW, IL 60455-2045
(708) 238-6793
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009569
IL
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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