Provider Demographics
NPI:1417272600
Name:DOUGLAS, APRIL ANGELA (DPT)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:ANGELA
Last Name:DOUGLAS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:ANGELA
Other - Last Name:MCCANNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:4272 KARENSUE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-3732
Mailing Address - Country:US
Mailing Address - Phone:858-224-2242
Mailing Address - Fax:858-224-3713
Practice Address - Street 1:4272 KARENSUE AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-3732
Practice Address - Country:US
Practice Address - Phone:858-224-2242
Practice Address - Fax:858-224-3713
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-31
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT36574225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist