John F Douglas, PTA
NPI #1467690206 in N Massapequa, New York
Provider Information
- NPI Number
- 1467690206
- Entity Type
- Individual
- Name
- John F Douglas, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Feb 2, 2009
- Last Updated
- Feb 5, 2009
Practice Location
- Address
- 1061 N BROADWAY
- City
- N Massapequa
- State
- New York
- ZIP Code
- 11758-1853
- Phone
- (516) 454-6387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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