Provider Demographics
NPI:1346334513
Name:DUEKER FEE PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:DUEKER FEE PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DUERKER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:559-439-8151
Mailing Address - Street 1:7275 N 1ST ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2977
Mailing Address - Country:US
Mailing Address - Phone:559-439-8151
Mailing Address - Fax:559-439-8154
Practice Address - Street 1:7275 N 1ST ST
Practice Address - Street 2:SUITE 106
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2977
Practice Address - Country:US
Practice Address - Phone:559-439-8151
Practice Address - Fax:559-439-8154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT23374225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ02776ZMedicare ID - Type UnspecifiedPHYSICAL THERAPY OFFICE