Individual
MRS. RENEE MARIE DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
750 SHIPYARD DR, SUITE 100, WILMINGTON, DE 19801-5157
(302) 658-3000
Mailing address
4615 MUGGLETON RD, WILMINGTON, DE 19808-4101
(302) 633-0261
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10001052
DE
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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