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Individual

JOHN DOUGHTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1010 S 336TH ST STE 210, FEDERAL WAY, WA 98003-7354
(253) 835-8091
Mailing address
2645 239TH ST SW, BRIER, WA 98036-8479
(513) 351-6772

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60432268
WA

Other

Enumeration date
12/17/2015
Last updated
12/17/2015
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