JASON A DOUGHERTY

WILMINGTON, DE
NPI1750320594
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: DE  J2-0000625)
Enumeration Date2006-06-06
Last Update Date2007-07-08
Business Address
Mr. JASON A DOUGHERTY PTA
2801 LANCASTER AVE
WILMINGTON, DE 19805-5232
Phone number: 302-778-0810
Mailing Address
Mr. JASON A DOUGHERTY PTA
334 PATRIOT DR
LOGAN TWP, NJ 08085-4254
Phone number: 856-241-1970