Individual
MR. ANDREW THOMAS DOUTHETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 BRAEMAR CT, NEW CITY, NY 10956-3042
(845) 480-9191
Mailing address
11 BRAEMAR CT, NEW CITY, NY 10956-3042
(845) 480-9191
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009105-01
NY
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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