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Ms. CAROLYN JOYCE DOUGLAS -- PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1164633301
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
1440 168TH AVE, SAN LEANDRO, CA, 945782409
Phone
(510) 481-8575

Specialties & Taxonomies

Physical Therapy Assistant Primary License: CA #AT6243

All Addresses

MAILING

3317 WYMAN ST

OAKLAND, CA, 946193454

(510) 682-6140

LOCATION

1440 168TH AVE

SAN LEANDRO, CA, 945782409

(510) 481-8575