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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEIRDRE DOLAN DOUGLASS, P.T.

Active Sole Proprietor

DEIRDRE DOLAN DOUGLASS, P.T. is a Pediatric Occupational Therapy healthcare provider located in CONYERS, Georgia. NPI 1598825747 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapy · CONYERS, GA

Registration Details

NPI Number
1598825747
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2006 (19.704592290821 yrs)
Last Updated
Sep 17, 2012
License
PT003272 (GA)
Sole Proprietor
Yes

Practice Information

Address
586 CLUBLAND CIR SE
CONYERS, GA, 300943626
Browse GA providers · Browse ZIP 30094
Phone
7707857908
Fax
7707857908
Primary Specialty
Pediatric Occupational Therapy
2251P0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.