SAMUEL DOUGLAS

OAKLAND, CA
NPI1356003867
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: CA  300980)
Enumeration Date2021-10-12
Last Update Date2021-10-18
Business Address
SAMUEL DOUGLAS PT, DPT
3300 WEBSTER ST STE 703
OAKLAND, CA 94609-3122
Phone number: 510-835-5633
Mailing Address
SAMUEL DOUGLAS PT, DPT
515 VERNON ST APT 203
OAKLAND, CA 94610-1402
Phone number: 510-292-8669
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