JOHN JOSEPH DOHERTY

MUNSTER, IN
NPI1700079837
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251S0007X Physical Therapist, Sports
(Licence: IN  05001844A)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36000225A)
Enumeration Date2007-08-22
Last Update Date2007-08-22
Business Address
Mr. JOHN JOSEPH DOHERTY P.T., A.T.C.
1950 45TH AVE SUITE 200
MUNSTER, IN 46321-3917
Phone number: 219-922-8188
Mailing Address
Mr. JOHN JOSEPH DOHERTY P.T., A.T.C.
1950 45TH AVE SUITE 200
MUNSTER, IN 46321-3917
Phone number: 219-922-8188
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