Individual
DAVID SCOTT DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
4411 POINT FOSDICK DR STE 101, GIG HARBOR, WA 98335-1703
(253) 851-7472
(253) 851-7473
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 682-8840
(423) 602-2028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60564371
WA
225XH1200X
Hand Occupational Therapist
111425
TX
Other
Enumeration date
11/30/2006
Last updated
10/04/2019
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