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1215070198
MARY ELLEN DOUGHERTY
SYRACUSE, NY
NPI
1215070198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 005030-1)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
MS. MARY ELLEN DOUGHERTY PT
813 FAY RD
SYRACUSE, NY 13219-3009
Phone number: 315-703-0762
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Mailing Address
MS. MARY ELLEN DOUGHERTY PT
167 THURLOW DR
SYRACUSE, NY 13205-2826
Phone number: 315-492-6720
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