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1154884906
KIM DOUGHERTY
NEW YORK, NY
NPI
1154884906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 008255-1)
Enumeration Date
2019-04-09
Last Update Date
2019-06-11
Business Address
KIM DOUGHERTY PTA
113 E 23RD ST
NEW YORK, NY 10010-4507
Phone number: 646-742-0165
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Mailing Address
KIM DOUGHERTY PTA
113 E 23RD ST
NEW YORK, NY 10010-4507
Phone number: 646-742-0165
Copy
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