Individual
CASSANDRA DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1365 W 29TH ST, LOVELAND, CO 80538-2561
(970) 667-6111
Mailing address
2912 VIRGINIA DR, LOVELAND, CO 80538-8825
(970) 213-0225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6671
CO
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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