Individual
KATIE LYNN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
715 SW ANKENY RD, ANKENY, IA 50023-9798
(515) 965-1339
(515) 965-1186
Mailing address
715 SW ANKENY RD, ANKENY, IA 50023-9798
(515) 965-1339
(515) 965-1186
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
002022
IA
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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