Individual
TAMARA ROSILA DOUGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
4142 BEARBROOK RD, MADISON TOWNSHIP, PA 18444-6602
(570) 575-0662
Mailing address
4142 BEARBROOK RD, MADISON TOWNSHIP, PA 18444-6602
(570) 575-0662
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI000106
PA
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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