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1699130674
JOHN DOUGHTY
FEDERAL WAY, WA
NPI
1699130674
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P1 60432268)
Enumeration Date
2015-12-17
Last Update Date
2015-12-17
Business Address
-- JOHN DOUGHTY PTA
1010 S 336TH ST STE 210
FEDERAL WAY, WA 98003-7354
Phone number: 253-835-8091
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Mailing Address
-- JOHN DOUGHTY PTA
2645 239TH ST SW
BRIER, WA 98036-8479
Phone number: 513-351-6772
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