Provider Demographics
NPI:1144581133
Name:JOANNE DUNCANSON, PT LLC
Entity Type:Organization
Organization Name:JOANNE DUNCANSON, PT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCANSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:203-228-6274
Mailing Address - Street 1:2255 MAGANS OCEAN WALK
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-3149
Mailing Address - Country:US
Mailing Address - Phone:203-228-6274
Mailing Address - Fax:203-702-5977
Practice Address - Street 1:2255 MAGANS OCEAN WALK
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32963-3149
Practice Address - Country:US
Practice Address - Phone:203-228-6274
Practice Address - Fax:203-702-5977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24447225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty