Individual
AMIE LYNN BOLES DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7054 OAKBLUFF DR, DALLAS, TX 75254-2753
(972) 430-3126
(972) 525-9988
Mailing address
7054 OAKBLUFF DR, DALLAS, TX 75254-2753
(770) 335-3461
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1218278
TX
Other
Enumeration date
04/05/2016
Last updated
02/26/2025
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