Individual
CHRISTINE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
5700 MERRICK RD, MASSAPEQUA, NY 11758-6221
(516) 798-9605
(516) 798-9373
Mailing address
5700 MERRICK RD, MASSAPEQUA, NY 11758-6221
(516) 798-9605
(516) 798-9373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
035692-1
NY
Other
Enumeration date
03/04/2013
Last updated
07/03/2013
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