Individual
KRISTA JACLYN DUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3000 BETHEL RD, COLUMBUS, OH 43220-2262
(614) 889-6320
Mailing address
1193 DOVER AVE, GRANDVIEW HEIGHTS, OH 43212-3617
(614) 832-2225
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
10704
OH
2251G0304X
Geriatric Physical Therapist
1866
NV
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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