Individual
WENDY ANNE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
9685 BAY HARBOR CIR APT 201, FORT MYERS, FL 33919-5724
(239) 440-9802
Mailing address
9685 BAY HARBOR CIR APT 201, FORT MYERS, FL 33919-5724
(239) 440-9802
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
11/10/2009
Last updated
05/18/2022
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