Individual
MRS. TERESA ELAYNE DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
815 FREEPORT RD, 200 BLDG, SUITE 4000, PITTSBURGH, PA 15215-3301
(412) 784-5010
Mailing address
419 WILSON DR, PITTSBURGH, PA 15235-1741
(412) 242-2566
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE006649
PA
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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