Individual
MR. STEPHEN M DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
217 CHESTERFIELD TOWNE CTR, CHESTERFIELD, MO 63005-1257
(636) 728-0889
Mailing address
5459 OAKVILLA MANOR DR, SAINT LOUIS, MO 63129-3011
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
117205
MO
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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