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Individual
RISTY DURBIN
Active
Individual
RISTY DURBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1155398
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1155398
EXECUTIVE COUNCIL OF PHYSICAL THERAPY EXAMINERS
TX
Enumeration date
09/13/2009
Last updated
09/13/2009
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