Individual provider · Type 1 NPI

Dessire Douglas

Rehabilitation Practitioner · San Pedro, CA

NPI number 1497906036 Active

Practice location

222 W 6th St
San Pedro, CA 90731

Fax (310) 707-2877

Mailing address

855 N Orange Grove Blvd
Pasadena, CA 91103-3333

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 1497906036

Dessire Douglas's National Provider Identifier is 1497906036, issued on Oct 1, 2008. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Pedro, CA. The record was last updated on Sep 4, 2018.