Individual
JESSE LEEROY DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
711 S COWLEY ST, SPOKANE, WA 99202-1330
(509) 473-6000
Mailing address
1064 CANADA WILD DR, BUDA, TX 78610-5157
(806) 407-2164
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2098701
TX
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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