Individual
MR. SEAN ROGER DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
484 MAIN ST, WORCESTER, MA 01608-1893
(800) 244-2756
(508) 831-9768
Mailing address
577 SOUTH ST, ROSLINDALE, MA 02131-1117
(508) 304-4202
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9349
MA
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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