Provider Demographics
NPI:1376510925
Name:DZURINKO, DEBORAH SUSAN (MPT)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:SUSAN
Last Name:DZURINKO
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 CLEARY RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLET
Mailing Address - State:GA
Mailing Address - Zip Code:30415-7321
Mailing Address - Country:US
Mailing Address - Phone:912-536-8817
Mailing Address - Fax:
Practice Address - Street 1:518 GENTILLY RD
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-5149
Practice Address - Country:US
Practice Address - Phone:912-681-7768
Practice Address - Fax:912-681-7782
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT014326225100000X
GAPT009586225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist