Individual
MS. BARBARA W. DETURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
162 PARKSIDE AVE, MILLER PLACE, NY 11764-3408
(631) 821-6474
(631) 821-6474
Mailing address
162 PARKSIDE AVE, MILLER PLACE, NY 11764-3408
(631) 821-6474
(631) 821-6474
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006011-1
NY
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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