Douglas Price, PTA

NPI #1679835961 in Monmouth, Illinois

Provider Information

NPI Number: 1679835961
Entity Type: Individual
Name: Douglas Price, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 12, 2012
Last Updated: Jun 12, 2012

Practice Location

Address: 1201 E BROADWAY
Address 2: SUITE C
City: Monmouth
State: Illinois
ZIP Code: 61462-1994
Phone: (309) 734-1103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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