Individual
CYNTHIA D MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1710
Mailing address
PO BOX 1936, DES MOINES, IA 50305-1936
(515) 271-1710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02844
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891937595
—
IA
Enumeration date
03/27/2009
Last updated
06/10/2009
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