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Individual

SARAH BETH DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
136 DAVIS LN, LA FOLLETTE, TN 37766-3118
(606) 524-0588
(423) 562-1055
Mailing address
136 DAVIS LN, LA FOLLETTE, TN 37766-3118
(606) 524-0588
(423) 562-1055

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3508
TN

Other

Enumeration date
11/21/2012
Last updated
11/21/2012
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