Individual
PAUL DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2309 ROBLE AVE, MODESTO, CA 95354-1807
(209) 535-5692
Mailing address
2309 ROBLE AVE, MODESTO, CA 95354-1807
(209) 535-5692
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT5763
CA
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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