Individual
CORINNE DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
101 CARVER RD, PLYMOUTH, MA 02360-4643
(508) 830-0093
(508) 830-1425
Mailing address
535 S MAIN ST, RANDOLPH, MA 02368-5254
(781) 961-3370
(781) 767-7531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15289
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y68124
BCBS
MA
Enumeration date
07/14/2006
Last updated
12/01/2008
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