Individual
MS. RACHEL DIANE DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 EGRET CT, STAFFORD, VA 22554-7776
(631) 983-9479
Mailing address
40 EGRET CT, STAFFORD, VA 22554-7776
(631) 983-9479
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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