| Doctor Name: | DANIEL JAMES DOHERTY |
| NPI Number: | 1215045851 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | |
| Business Practice Address: | 45 Mallett Dr Coastal Orthopedics And Sports Medicine Freeport, ME - 040321312 |
| Business Phone Number: | 2074420325 |
| Business Fax Number: | 2074434578 |
| Mailing Address: | 27 Macmillan Dr, BRUNSWICK |
| State: | ME |
| Postal Code: | 040113222 |
| Phone Number: | 2077298581 |
| Fax Number: | |
| NPI Enumeration Date: | 08/25/2006 |
| NPI Last Update Date: | 03/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |