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Individual

MR. ROBERT L DOUGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
3665 S 8400 W, SUITE 210, MAGNA, UT 84044-2214
(801) 250-6733
(801) 250-5038
Mailing address
3665 S 8400 W, SUITE 210, MAGNA, UT 84044-2214
(801) 250-6733
(801) 250-5038

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5165580-2401
UT

Other

Enumeration date
12/15/2005
Last updated
03/24/2010
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