Individual
JENI DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3135 SE COLORADO AVE, TOPEKA, KS 66605-2510
(785) 580-6172
Mailing address
3135 SE COLORADO AVE, TOPEKA, KS 66605-2510
(785) 580-6172
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03193
KS
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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