MRS. Carla Louise Douglas, OTRL

NPI #1194867754 in O Fallon, Missouri

Provider Information

NPI Number: 1194867754
Entity Type: Individual
Name: MRS. Carla Louise Douglas, OTRL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTRL
Enumeration Date: Feb 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 20 FAWN OAKS DR
City: O Fallon
State: Missouri
ZIP Code: 63366-1071
Phone: (314) 452-4947

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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