Individual
KAREN J DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
612 MOCKSVILLE AVE, SALISBURY, NC 28144-2732
(704) 210-5306
Mailing address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-8484
(704) 355-4231
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1436
NC
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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