MR. Barry Michael Doherty, PTA

NPI #1952628901 in Leesburg, Florida

Provider Information

NPI Number: 1952628901
Entity Type: Individual
Name: MR. Barry Michael Doherty, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 30, 2010
Last Updated: Apr 30, 2010

Practice Location

Address: 600 W NORTH BLVD
Address 2: SUITE D
City: Leesburg
State: Florida
ZIP Code: 34748-5063
Phone: (352) 787-9300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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