Individual
MR. JUAN F DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
650 COMMERCE AVE, STE. E, PALMDALE, CA 93551-3884
(818) 602-5163
(661) 252-2513
Mailing address
650 COMMERCE AVE, STE. E, PALMDALE, CA 93551-3884
(818) 602-5163
(661) 252-2513
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
20261
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154788404
PHYSICAL THERAPIST
CA
Enumeration date
01/18/2016
Last updated
04/05/2019
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