Individual
BRETT MICHAEL DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11336 S 96TH ST STE 114, PAPILLION, NE 68046-4211
(402) 315-3603
Mailing address
11336 S 96TH ST STE 114, PAPILLION, NE 68046-4211
(402) 315-3603
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4227
NE
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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