Individual
MRS. PATRICIA MARIE DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-8586
Mailing address
626 NELSON POINT RD, NICEVILLE, FL 32578-4519
(850) 897-6806
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
OT-0001530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
359786
NATIONAL OT CERT.
—
Enumeration date
12/21/2006
Last updated
07/08/2007
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