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General NPI Number Information
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NPI Number | 1164522322
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Entity Type | Individual
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Provider Name | AMY PATRICIA DUFFNER PT
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2333 STATE STREET SUITE 201
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City | CARLSBAD
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State | CA
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Zip | 92008-1691
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Country | US
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Telephone | 760-434-3912
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Fax | 760-434-3871
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Provider Business Mailing Address
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Address Line | 750 BUENA CREEK ROAD
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City | SAN MARCOS
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State | CA
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Zip | 92069-9672
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Country | US
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Telephone | 760-471-2116
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Fax | 760-471-2116
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT21696
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT21696
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License Number State | CA
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