Individual
NEAL J DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9701 MONROVIA ST, LENEXA, KS 66215-1564
(913) 492-1130
Mailing address
7450 W 139TH TER APT 1804, OVERLAND PARK, KS 66223-4200
(785) 242-6822
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
KS
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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