Individual
LISA DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3817
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3817
STATE OF NM PHYSICAL THERAPIST LICENSE
NM
01
—
PTL.0016024
LICENSE
CO
Enumeration date
01/27/2016
Last updated
01/09/2019
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