Individual
KATHERINE HALEY DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1400 LOWELL RD, CONCORD, MA 01742-5210
(978) 402-1473
Mailing address
21 BIRD ST, WOBURN, MA 01801-3201
(781) 718-4491
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
01856
MA
Other
Enumeration date
08/29/2007
Last updated
12/08/2014
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