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1659890705
MICHELLE NICOLE DOHERTY
SYRACUSE, NY
NPI
1659890705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
Enumeration Date
2017-09-10
Last Update Date
2017-09-10
Business Address
MICHELLE NICOLE DOHERTY OTR/L
171 INTREPID LN
SYRACUSE, NY 13205-2548
Phone number: 315-437-4689
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Mailing Address
MICHELLE NICOLE DOHERTY OTR/L
PO BOX 223
WESTMORELAND, NY 13490-0223
Phone number:
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