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Individual

KATELYN ANNE DOUGHERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
454 ELIZABETH AVE STE 240, SOMERSET, NJ 08873-5111
(732) 860-5757
Mailing address
12 WOODLAND RD, CLARK, NJ 07066-2737

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00955100
NJ

Other

Enumeration date
04/01/2026
Last updated
04/01/2026
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