Individual
KYLE M DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3623 SILVERSIDE RD, WILMINGTON, DE 19810-5101
(302) 529-1911
Mailing address
18 GUM PL, PENNSVILLE, NJ 08070-3208
(609) 202-3289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0003953
DE
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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