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1952628901
BARRY MICHAEL DOHERTY
LEESBURG, FL
NPI
1952628901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 21777)
Enumeration Date
2010-04-30
Last Update Date
2010-04-30
Business Address
Mr. BARRY MICHAEL DOHERTY PTA
600 W NORTH BLVD SUITE D
LEESBURG, FL 34748-5063
Phone number: 352-787-9300
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Mailing Address
Mr. BARRY MICHAEL DOHERTY PTA
600 W NORTH BLVD SUITE D
LEESBURG, FL 34748-5063
Phone number: 352-787-9300
Copy
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