Individual
MR. JOHN PATRICK DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A., A.,T.,C.
Contact information
Practice address
16300 SAND CANYON AVE, SUITE 100, IRVINE, CA 92618-3711
(949) 754-1344
(949) 754-1351
Mailing address
104 RUE MONET, FOOTHILL RANCH, CA 92610-3417
(951) 442-3970
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8312
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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