Individual
MRS. CANDY LYNN DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
951 WASHINGTON AVE, TYRONE, PA 16686-1426
(814) 684-0320
Mailing address
116 IRVIN ST, IRVONA, PA 16656-7017
(814) 312-2432
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP000980L
PA
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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