Organization
MD PHYSICAL THERAPY CENTER FOR LONGEVITY
Active
Other names
MD Physical Therapy Center for Longevity, Marion Markettia Duncan
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARION MARKETTIA DUNCAN PT (AO/PT)
(142) 371-8162
Entity
Organization
Contact information
Practice address
4945 BAL HARBOR DR, CHATTANOOGA, TN 37416-1714
(423) 718-1627
(423) 855-1482
Mailing address
4945 BAL HARBOR DR, CHATTANOOGA, TN 37416-1714
(423) 718-1627
(423) 855-1482
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225430713
PRIVATE INSURANCE COMPANIES
TN
Enumeration date
02/09/2021
Last updated
02/09/2021
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