Individual
CAROLINE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
8395 OSWEGO RD, BALDWINSVILLE, NY 13027-6801
(315) 450-4898
Mailing address
8395 OSWEGO RD, BALDWINSVILLE, NY 13027-6801
(315) 450-4898
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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