MICHELLE NICOLE DOHERTY

SYRACUSE, NY
NPI1659890705
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
Enumeration Date2017-09-10
Last Update Date2017-09-10
Business Address
MICHELLE NICOLE DOHERTY OTR/L
171 INTREPID LN
SYRACUSE, NY 13205-2548
Phone number: 315-437-4689
Mailing Address
MICHELLE NICOLE DOHERTY OTR/L
PO BOX 223
WESTMORELAND, NY 13490-0223
Phone number: