Individual
BRENDAN JOSEPH DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 HIGHLAND AVE, MC 2433, MADISON, WI 53792
(608) 662-0817
(608) 203-4544
Mailing address
600 HIGHLAND AVE, MC 2433, MADISON, WI 53792
(608) 662-0817
(608) 203-4544
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11932-24
WI
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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