Individual
MRS. DANNA SUZANNE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
701 MONTEREY PL, HUTCHINSON, KS 67502
(620) 664-6219
Mailing address
1517 E 69TH ST, HUTCHINSON, KS 67502
(620) 728-0134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03104
KS
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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