Individual
MS. DANA BADEAUX DURKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
225 CORPORATE DR, HOUMA, LA 70360-2769
(985) 876-7188
Mailing address
225 CORPORATE DR, HOUMA, LA 70360-2769
(985) 876-7188
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3606
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1542563
—
LA
Enumeration date
09/26/2006
Last updated
09/06/2023
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