Individual provider · Type 1 NPI

Deanta Douglas

Rehabilitation Practitioner · Long Beach, CA

NPI number 1376469213 Active

Practice location

2600 Redondo Ave Fl 6
Long Beach, CA 90806-2325

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1376469213

Deanta Douglas's National Provider Identifier is 1376469213, issued on Jun 25, 2026. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Long Beach, CA. The record was last updated on Jun 25, 2026.