GREGORY SCOTT DOUGHERTY

NORTH CANTON, OH
NPI1992221550
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: PA  OP001416L)
Enumeration Date2017-08-16
Last Update Date2017-08-16
Business Address
GREGORY SCOTT DOUGHERTY COTA/L
339 E MAPLE ST
NORTH CANTON, OH 44720-2593
Phone number: 330-498-8200
Mailing Address
GREGORY SCOTT DOUGHERTY COTA/L
11074 ALDINA DR
CONNEAUT LAKE, PA 16316-2718
Phone number: 814-382-2718