Individual
JUNE ANNETTE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 DESOTO RD, SARASOTA, FL 34235-3607
(941) 256-2609
Mailing address
100 SAN LINO CIR UNIT 123, VENICE, FL 34292-6314
(941) 224-7426
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2843
FL
Other
Enumeration date
07/22/2018
Last updated
07/22/2018
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