Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 2306001070 | VA |
N | 225200000X | Physical Therapy Assistant | A2859 | MD |
NPI | 1013244953 |
---|---|
Provider Name | Douglas Cuffee |
First Address | Chesapeake, VA 23320-6684 |
Second Address | Chesapeake, VA 23320-6684 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2009 |
Last Update Date | 12/12/2020 |