Dougherty, Kathryn Jordan

Dougherty, Kathryn Jordan is an individual health care provider with primary practice located at 638 Brandywine Pkwy , West Chester PA 19380-4278. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dougherty, Kathryn Jordan can be contacted via phone (610) 436-3600.

Contact Information

Primary practice address
638 Brandywine Pkwy West Chester PA 19380-4278
Phone: (610) 436-3600
Fax: (610) 436-3606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT017564 Pennsylvania

Profile Details

NPI number 1578689790
LBN Legal business name Dougherty, Kathryn Jordan
Credentials PT, MPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Dec 2nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578689790 NPPES
Pennsylvania MEDICAID 1018303320001

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