IndividualActive
Jason Dougherty, PTA
NPI 1750320594 · Physical Therapy Assistant · Wilmington, DE
Provider details
- NPI number
- 1750320594
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- License
- J2-0000625 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2801 Lancaster Ave
Wilmington, DE 19805-5232
Phone: (302) 778-0810
Fax: (302) 778-0812
Approximate (ZIP-level) locationGet directions
Mailing address
334 Patriot Dr
Logan Twp, NJ 08085-4254
Registry dates
- Enumerated
- 2006-06-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.