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1518057900
MARYELLEN DOUGHERTY
MEDIA, PA
NPI
1518057900
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Former Name
MARYELLEN DOUGHERTY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT018385)
Enumeration Date
2006-10-13
Last Update Date
2011-04-05
Business Address
Mrs. MARYELLEN DOUGHERTY MSPT
203 E BALTIMORE PIKE SUITE 2
MEDIA, PA 19063-3433
Phone number: 610-565-0670
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Mailing Address
Mrs. MARYELLEN DOUGHERTY MSPT
203 E BALTIMORE PIKE SUITE 2
MEDIA, PA 19063-3433
Phone number: 610-565-0670
Copy
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