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Individual

DONNA LYNN DOUGHERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S., M.S., OTR/L

Contact information

Practice address
50 CAMBRIDGE CT, SOUDERTON, PA 18964-2904
(215) 896-2924
Mailing address
50 CAMBRIDGE CT, P.O. BOX 40, SOUDERTON, PA 18964-2904
(215) 896-2924

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC006282L
PA

Other

Enumeration date
09/25/2014
Last updated
09/25/2014
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