Individual
ANDREA M DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
251 LANDIS AVE, SUITE 201, CHULA VISTA, CA 91910-2628
(619) 498-8540
(619) 498-8453
Mailing address
3257 PURER RD, ESCONDIDO, CA 92029-7204
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT14154
CA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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