Jack Douglas
Jack Douglas is a Physical Therapist in Monticello, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2007
Practice location Address checks out
1065 E Broad StMonticello, MS 39654-7703
Phone: (601) 587-7115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT3353 (MS) |
|---|
Record details
| NPI number | 1508054404 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 5, 2007 |
| Last updated in NPPES | April 7, 2010 |
| Mailing address | 4109 Highway 98 W, Summit, MS 39666-9132 |
Other providers in Monticello
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Armanda L. Bourne, PT
314 Main St Ste C, Monticello, MS 39654-3702 · (601) 587-2563
-
Kimberly Lewis
1065 E Broad St, Monticello, MS 39654-7703 · (601) 587-1165