Individual
MISS MARGARET ELLEN DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
272 BERDAN AVE, WAYNE HILLS HIGH SCHOOL, WAYNE, NJ 07470-3240
(973) 633-3194
(973) 633-3114
Mailing address
6 FERNDALE RD, WAYNE, NJ 07470-7407
(973) 694-2189
(973) 633-3114
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00025700
NJ
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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