NICHOLAS XAVIER DOUGHERTY

CARMEL, IN
NPI1821616731
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2020-07-07
Last Update Date2020-07-07
Business Address
NICHOLAS XAVIER DOUGHERTY
118 MEDICAL DR
CARMEL, IN 46032-3323
Phone number: 317-844-4211
Mailing Address
NICHOLAS XAVIER DOUGHERTY
510 DAFFON DR
INDIANAPOLIS, IN 46227-2763
Phone number:
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