Individual
MR. DANIEL EDWARD DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
96 FOREST ST, PEABODY, MA 01960-3907
(978) 532-0303
Mailing address
1 BYRNE AVE, WESTFORD, MA 01886-1515
(978) 392-8557
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5596
MA
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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