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Individual

CHRISTOPHER MICHAEL DOUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1600 N WASHINGTON ST, WILMINGTON, DE 19802-4722
(302) 656-2521
(302) 656-2620
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0003011
DE
225100000X
Physical Therapist
PT022116
PA

Other

Enumeration date
04/24/2012
Last updated
11/15/2013
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