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Phyllis Douglass, CAMTC#56843
Massage Therapist in Glendora, California
NPI 1447852017

Phyllis Douglass is a Massage Therapist based in La Verne, CA. Phyllis Douglass practices in Glendora, CA and has the professional credentials of CAMTC#56843. The NPI Number for Phyllis Douglass is 1447852017 and holds a License No. 56843 (California).

The current practice location address for Phyllis Douglass is 340 S Glendora Ave, Glendora, CA and can be reached out via phone at 909-967-0246.

Location: 340 S Glendora Ave, Glendora, CA, 91750-3514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447852017
Provider Name
Phyllis Douglass
Credential
CAMTC#56843
Provider Entity Type
Individual
Gender
Female
Address
340 S Glendora Ave, Glendora, CA, 91750-3514
Phone Number
909-967-0246
Fax Number
Provider Enumeration Date
11/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
340 S Glendora Ave
City
Glendora
State
California
Zip
91741-6255
Phone Number
909-967-0246
Fax Number
person
Provider Business Mailing Address Details
Address
340 S Glendora Ave
City
Glendora
State
California
Zip
91741-6255
Phone Number
909-967-0246
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
56843 (California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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