Individual
JESSICA A DOUGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1624 MAIN ST, COLUMBIA, SC 29201-2818
(803) 454-0365
Mailing address
130 PLANTATION POINTE RD, RIDGEWAY, SC 29130-7537
(803) 422-8632
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3277
SC
Other
Enumeration date
03/08/2016
Last updated
11/06/2023
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