NPI 1033226923
Mark a Douglas, CTRS
Practice location
- Address
- 2200 Fort Roots Dr, North Little Rock, AR 72114-1709
- Phone
- (501) 257-3285
- Mailing address
- 1500 S Taylor St, Little Rock, AR 72204-2663
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1033226923
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Aug 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.