Individual
MRS. JANELL RANAE MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 444-6350
(610) 925-4000
Mailing address
83 CROSS ROAD LN, FISHERSVILLE, VA 22939-2331
(540) 885-8424
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603503
VA
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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