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NPI Code Detail

MEDICARE: STEVEN NILE DUCKWORTH

MEDICARE:   STEVEN NILE DUCKWORTH
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 Therapist2165OK

General Provider Information

NPI Number : 1669817409
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN NILE DUCKWORTH
Provider Business Mailing Address
First Line : PO BOX 1441
Second Line :
City : CATOOSA
State : OK
Zip : 74015-1441
Country : US
Telephone Number : 918-892-1698
Fax Number :
Provider Business Practice Location Address
First Line : 1755 WITTINGTON PL
Second Line : STE 800
City : DALLAS
State : TX
Zip : 75234-1927
Country : US
Telephone Number : 214-442-4537
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2013
Last Update Date : 05/07/2013

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Directions to “ STEVEN NILE DUCKWORTH ” Practice Location

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