Individual
ALLYSON A DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
3194 SOUTHFORK DR, PACE, FL 32571-7003
(601) 540-3678
Mailing address
3194 SOUTHFORK DR, PACE, FL 32571-7003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT30521
FL
225100000X
Physical Therapist
PT3209
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05583011
—
MS
Enumeration date
06/13/2006
Last updated
04/12/2021
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