Individual
MRS. DENISE NICOLE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2899 FIVE FORKS TRICKUM RD, LAWRENCEVILLE, GA 30044-5803
(770) 982-9969
Mailing address
1035 GUNTER CT, ALPHARETTA, GA 30022-3503
(770) 846-6336
(847) 386-5196
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
5562
GA
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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