Individual
KEELIN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39 CLIPPER DR, WOLFEBORO, NH 03894-4222
(603) 393-6318
Mailing address
228 STARK ST, GILFORD, NH 03249-6435
(603) 393-6318
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2582
NH
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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