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Organization
MARK WARREN DUCKETT
Active
Organization
MARK WARREN DUCKETT
Active
Other names
Mountain Valley Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DUCKETT PT (OWNER)
(530) 623-2570
Entity
Organization
Contact information
Practice address
50 NUGGET LANE, SUITE A, WEAVERVILLE, CA 96093-2120
(530) 623-2570
(530) 623-2573
Mailing address
PO BOX 2120, WEAVERVILLE, CA 96093-2120
(530) 623-2570
(530) 623-2573
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT62720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT0062720
—
CA
Enumeration date
12/15/2006
Last updated
07/03/2008
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