Individual
MR. DOUGLAS EDWARD HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, CWS
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 236-1561
Mailing address
PO BOX 95460, CLEVELAND, OH 44101-0033
(602) 581-6076
(602) 263-1619
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202742
VA
Other
Enumeration date
05/07/2019
Last updated
03/09/2026
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