Individual
ALLISON JEAN DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T, R.N.
Contact information
Practice address
815 E LUTZ RD, ARCHBOLD, OH 43502-3211
(419) 446-9144
(419) 446-9146
Mailing address
815 E LUTZ RD, ARCHBOLD, OH 43502-3211
(419) 446-9144
(419) 446-9146
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN318903
OH
225100000X
Physical Therapist
Primary
PT012828
OH
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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