| NPI | 1407361249 |
|---|---|
| Professional Name | COLIN J DOHERTY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096.002883) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |