Individual
JAMES DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
71 COWARDLY LION DR, UNIT D, HEDGESVILLE, WV 25427-6785
(304) 754-5000
Mailing address
501 FAIRMOUNT AVE, STE 302, TOWSON, MD 21286-5457
(410) 927-8768
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003001
WV
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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