Provider Demographics
NPI:1225430713
Name:DUNCAN, MARION (PT)
Entity Type:Individual
Prefix:
First Name:MARION
Middle Name:
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4945 BAL HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37416-1714
Mailing Address - Country:US
Mailing Address - Phone:423-718-1627
Mailing Address - Fax:
Practice Address - Street 1:2255 CENTER ST
Practice Address - Street 2:STE.104
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-2500
Practice Address - Country:US
Practice Address - Phone:423-855-0745
Practice Address - Fax:423-855-7898
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000005544225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist