Individual
WILLIAM G DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
4100 LAKE OTIS PKWY, STE 314, ANCHORAGE, AK 99508-5231
(907) 274-2425
(907) 274-2428
Mailing address
PO BOX 241769, ANCHORAGE, AK 99524-1769
(907) 770-2380
(907) 770-2341
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1089
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT1089
—
AK
Enumeration date
03/09/2006
Last updated
08/26/2010
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