Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN JOSEPH DOHERTY, P.T., A.T.C.
ActiveMR. JOHN JOSEPH DOHERTY, P.T., A.T.C. is a Environmental Modification (OT) healthcare provider located in MUNSTER, Indiana. NPI 1700079837 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · MUNSTER, IN
Registration Details
- NPI Number
- 1700079837
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2007 (18.937283757566 yrs)
- Last Updated
- Aug 22, 2007
- Licenses
-
05001844A (IN)36000225A (IN)
Practice Information
- Address
-
1950 45TH AVESUITE 200MUNSTER, IN, 463213917Browse IN providers · Browse ZIP 46321
- Phone
- 2199228188
- Fax
- 2199228502
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
- Additional Specialty
- Athletic Trainer
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.