Individual
AMANDA BROE DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4020 E PALMER PARK BLVD, #101C, COLORADO SPRINGS, CO 80909
(719) 574-5234
(719) 574-8277
Mailing address
2430 RESEARCH PKWY, STE 100, COLORADO SPRINGS, CO 80920-1093
(719) 623-1050
(719) 623-1051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0003883
CO
Other
Enumeration date
07/06/2006
Last updated
02/26/2021
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