Individual
LAURA L DOUTHIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10133 ROAD 94A, BRIDGEPORT, NE 69336-5038
(308) 279-0206
Mailing address
10133 ROAD 94A, BRIDGEPORT, NE 69336-5038
(308) 279-0206
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
185
NE
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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