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NPI Code Detail

MEDICARE: DEBORAH A DUREN RPT

MEDICARE: DEBORAH A DUREN RPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2553CT
2225100000XPhysical TherapistMA

General Provider Information

NPI Number : 1548384183
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH A DUREN RPT
Provider Business Mailing Address
First Line : 53 YALE DR
Second Line :
City : ENFIELD
State : CT
Zip : 06082-5533
Country : US
Telephone Number : 860-741-3386
Fax Number :
Provider Business Practice Location Address
First Line : 1 EMERSON DR
Second Line :
City : WINDSOR
State : CT
Zip : 06095-3204
Country : US
Telephone Number : 860-640-6317
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 07/08/2007

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Directions to “ DEBORAH A DUREN RPT” Practice Location

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