National Provider Identifier
Mary Dougherty, OTR/L
Mary Dougherty, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Rochester, NY and a listed phone number of (585) 697-6000.
Profile Overview
- NPI
- 1982213757
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- July 28, 2020
- Last Updated
- August 11, 2021
Practice Location
- 1500 Portland Ave
- Rochester, NY 14621-3065
Phone: (585) 697-6000
Mailing Address
- 29 Main St
- Scottsville, NY 14546-1315
Specialties
- Occupational Therapist (225X00000X)
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1982213757
- Entity Type
- Individual
- Last Name
- Dougherty
- First Name
- Mary
- Credential
- OTR/L
- Mailing Street Address
- 29 Main St
- Mailing City
- Scottsville
- Mailing State
- NY
- Mailing ZIP Code
- 14546-1315
- Mailing Country
- US
- Mailing Phone
- (704) 995-0935
- Practice Street Address
- 1500 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3065
- Practice Country
- US
- Practice Phone
- (585) 697-6000
- Enumeration Date
- July 28, 2020
- Last Updated
- August 11, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 11, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X), Occupational Therapist (225X00000X)