Individual
SEAN DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
115 E EVERGREEN RD, LEBANON, PA 17042-7596
(717) 272-2033
Mailing address
170 N POINTE BLVD, LANCASTER, PA 17601-4132
(717) 299-4871
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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