Organization
THOMASJDUNCAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JOHNSON DUNCAN (PHYSICAL THERAPIST ASSISTANT)
17149557261
Entity
Organization
Contact information
Practice address
6142 KISER DR, HUNTINGTON BEACH, CA 92647-6459
(171) 495-5726
Mailing address
6142 KISER DR, HUNTINGTON BEACH, CA 92647-6459
(171) 495-5726
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N3432047
INDIVIDUAL PROVIDER
—
Enumeration date
01/25/2011
Last updated
01/25/2011
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