Individual
MRS. CHIYE ONODERA DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, C/NDT, CIMI
Contact information
Practice address
900 N SWALLOW TAIL DR STE 107, PORT ORANGE, FL 32129-6103
(386) 446-9935
(386) 446-7777
Mailing address
5558 W. BAYSHORE DRIVE, PORT ORANGE, FL 32127-6116
(949) 256-6918
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
PT 20885
CA
2251P0200X
Pediatric Physical Therapist
Primary
PT 29683
FL
Other
Enumeration date
09/21/2011
Last updated
06/17/2021
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