Individual
ERIN DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77564 COUNTRY CLUB DR, PALM DESERT, CA 92211-0484
(760) 772-2838
Mailing address
77564 COUNTRY CLUB DR, PALM DESERT, CA 92211-0484
(760) 772-2838
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 2332
CA
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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