Individual
DENALI BROOKE TARA DUFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
200 OKATIE VILLAGE DR STE 105, BLUFFTON, SC 29909-7526
(843) 706-2861
(843) 706-2864
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP018677T
OH
225100000X
Physical Therapist
Primary
CP034861T
SC
225100000X
Physical Therapist
PT61268007
WA
Other
Enumeration date
08/30/2022
Last updated
09/18/2025
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