Individual
MRS. AMANDA S DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4201 BELFORT RD, JACKSONVILLE, FL 32216-1431
(904) 296-5811
(904) 296-5810
Mailing address
210 16TH ST UNIT C, SAINT AUGUSTINE, FL 32080-6595
(904) 471-5117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22464
FL
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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