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Individual

DOUGLAS P OSTRANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, PT

Contact information

Practice address
10450 W MCDOWELL RD STE 102, AVONDALE, AZ 85392-4901
(602) 648-5444
(602) 772-3801
Mailing address
18384 W SUMMERHAVEN DR, GOODYEAR, AZ 85338-5369

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
016280
NY
225100000X
Physical Therapist
Primary
10803
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02250562
NY
Enumeration date
06/09/2005
Last updated
08/08/2022
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