Individual
DANIELLE E DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
276 US ROUTE 1 STE B, YORK, ME 03909-1629
(603) 785-3757
Mailing address
276 US ROUTE 1 STE B, YORK, ME 03909-1629
(603) 785-3757
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4354
ME
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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