SHAUN DOUGLASS PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1265113450- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 7767 ELM CREEK BLVD N STE 160, MAPLE GROVE, MN, 553697078
- Phone
- (763) 201-8191
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: MN #A1923