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