Ty Austin Duran

NPI #1013613934 in Lake City, Florida

Provider Information

NPI Number: 1013613934
Entity Type: Individual
Name: Ty Austin Duran
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Kinesiotherapist
Enumeration Date: Feb 2, 2023
Last Updated: Feb 22, 2023

Practice Location

Address: 619 S MARION AVE
City: Lake City
State: Florida
ZIP Code: 32025-5808
Phone: (386) 755-3016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Kinesiotherapist	226300000X	Primary

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