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Mrs. JENEANE DOUGLAS -- LPTA, C-SLPA, B.S.

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1295972693
Provider Type
Individual Provider (NPI-1)
Credentials
LPTA, C-SLPA, B.S.
Status
Active

Contact & Location

Address
290 MOYER LN NW, SALEM, OR, 973043822
Phone
(503) 370-8990

Specialties & Taxonomies

Physical Therapy Assistant Primary License: OR #7583
Specialist/Technologist, Speech-Language Assistant License: OR #A0257

All Addresses

MAILING

290 MOYER LN NW

SALEM, OR, 973043822

(503) 370-8990

LOCATION

290 MOYER LN NW

SALEM, OR, 973043822

(503) 370-8990