Individual
MISS JULIA MAE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3014 CHEYENNE AVE, FLINT, MI 48507-1921
(810) 725-2235
Mailing address
3014 CHEYENNE AVE, FLINT, MI 48507-1921
(810) 725-2235
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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