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Carla Louise Douglas, OTRL Valid NPI

Individual provider · Occupational Therapist · O Fallon, MO

NPI
1194867754
Type
Individual (Type 1)
Primary specialty
Occupational Therapist
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
225X00000X
License number
2001033078 (MO)
Sex
Female
Sole proprietor
Yes
Enumerated
2007-02-12
Last updated
2007-07-08
Practice location
20 Fawn Oaks Dr
O Fallon, MO 63366-1071
(314) 452-4947

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