Individual
LORETTA DOUGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT DPT
Contact information
Practice address
16 W STOCKHOLM SOUTHVILLE RD, POTSDAM, NY 13676-3361
(315) 323-3376
Mailing address
16 W STOCKHOLM SOUTHVILLE RD, POTSDAM, NY 13676-3361
(315) 323-3376
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
024550-1
NY
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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