Individual
MR. JOHN D LA DOUCEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1475 N GRANITE REEF RD, SCOTTSDALE, AZ 85257-3919
(480) 990-1904
Mailing address
5337 N 77TH ST, SCOTTSDALE, AZ 85250-6866
(928) 533-9332
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9927
AZ
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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