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Individual

BRIAN CHRISTOPHER DUFFY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, OCS

Contact information

Practice address
3657 CORTEZ RD W STE 110, SUITE 110, BRADENTON, FL 34210-3171
(941) 739-7828
(941) 739-7838
Mailing address
3657 CORTEZ RD W, SUITE 110, BRADENTON, FL 34210-3106
(941) 739-7828
(941) 739-7838

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
002667
WV
225100000X
Physical Therapist
PT013580
OH
225100000X
Physical Therapist
Primary
PT28047
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2825401
OH
05
3810010836
WV
01
P00657157
RAILROAD MEDICARE
Enumeration date
10/17/2007
Last updated
09/13/2016
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