Individual
CHRISTA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 PINE VALLEY DR, YADKINVILLE, NC 27055-6875
(866) 858-7580
Mailing address
8840 CYPRESS WATERS BLVD, SUITE 300, COPPELL, TX 75019-4594
(866) 858-7580
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02235
MD
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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