Individual
DEBORA ANN DUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5539 HWY 47, CHASE CITY, VA 23924-3727
(434) 372-4063
Mailing address
503 CARDINAL CT, SOUTH BOSTON, VA 24592-1758
(434) 572-2007
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000664
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49-5380
—
VA
Enumeration date
04/20/2009
Last updated
04/20/2009
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