MS. Michelle Dawn Durham, LPTA

NPI #1316173735 in Pine Bluff, Arkansas

Provider Information

NPI Number: 1316173735
Entity Type: Individual
Name: MS. Michelle Dawn Durham, LPTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: LPTA
Enumeration Date: Jun 1, 2009
Last Updated: Jun 1, 2009

Practice Location

Address: 6400 TRINITY DR
City: Pine Bluff
State: Arkansas
ZIP Code: 71603-7802
Phone: (870) 879-0638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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