Individual
OLIVIA M DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
32 N WASHINGTON ST, YPSILANTI, MI 48197-2662
(419) 681-3329
Mailing address
4083 DOGTOWN RD, MONROEVILLE, OH 44847-9443
(419) 681-3329
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
69787
OH
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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