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Individual

DONNA W DOUGLASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1020 CROSSPOINTE DR, NAPLES, FL 34110-0918
(239) 337-2003
Mailing address
1020 CROSSPOINTE DR, NAPLES, FL 34110-0918
(239) 337-2003

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1419
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134850000
ME
Enumeration date
12/06/2006
Last updated
03/09/2016
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