Individual
MRS. LAURA ANN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-3598
(912) 330-0975
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-3598
(912) 330-0975
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT001898
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003132627A
—
GA
Enumeration date
03/07/2013
Last updated
05/15/2013
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