SearchMissouri225X00000X

Carla Douglas, OTRL

NPI 1194867754 · on the registry since 2007 · sole proprietor

Practice

Address
20 Fawn Oaks Dr
O Fallon, MO 63366
Phone
(314) 452-4947
Fax
(636) 379-9655

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri