Provider Demographics
NPI:1235627811
Name:DUARTE, DEBORAH RUTH (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:RUTH
Last Name:DUARTE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:DEBORAH
Other - Middle Name:RUTH
Other - Last Name:MARDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:550 N SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406-3488
Mailing Address - Country:US
Mailing Address - Phone:888-366-0209
Mailing Address - Fax:775-423-7660
Practice Address - Street 1:550 N SHERMAN ST
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-3488
Practice Address - Country:US
Practice Address - Phone:888-366-0209
Practice Address - Fax:775-423-7660
Is Sole Proprietor?:No
Enumeration Date:2018-04-29
Last Update Date:2018-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41192225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist