Individual
CHRISTY LYNN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
603 ROSARY DR, CORNING, IA 50841-1683
(641) 333-6249
Mailing address
1209 QUAIL AVE, LENOX, IA 50851-8106
(641) 333-2569
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00634
IA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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