Joseph Dougherty III, PTA
NPI #1023447604 in Hazle Township, Pennsylvania
Provider Information
- NPI Number
- 1023447604
- Entity Type
- Individual
- Name
- Joseph Dougherty III, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Nov 5, 2013
- Last Updated
- Nov 5, 2013
Practice Location
- Address
- 401 HAZLE TOWNSHIP BLVD
- City
- Hazle Township
- State
- Pennsylvania
- ZIP Code
- 18202-9661
- Phone
- (570) 454-8888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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