Shani M Douglas, PT, DPT

NPI #1184861742 in Tinley Park, Illinois

Provider Information

NPI Number: 1184861742
Entity Type: Individual
Name: Shani M Douglas, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Jan 19, 2009
Last Updated: Apr 28, 2009

Practice Location

Address: 16651 HARLEM AVE
City: Tinley Park
State: Illinois
ZIP Code: 60477-2581
Phone: (708) 444-2467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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