Individual
JAMES HAYDEN DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
620 S SANTA FE AVE, MOORE, OK 73160-2476
(405) 809-8655
(405) 759-3696
Mailing address
440 MERCHANT DR, NORMAN, OK 73069-6470
(405) 809-8713
(405) 573-6768
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4965
OK
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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