Provider Demographics
NPI:1407914559
Name:DURR, CARL H (PT)
Entity Type:Individual
Prefix:MR
First Name:CARL
Middle Name:H
Last Name:DURR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:MR
Other - First Name:CARL
Other - Middle Name:H
Other - Last Name:DURR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:10545 COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:CLARENCE
Mailing Address - State:NY
Mailing Address - Zip Code:14031-1007
Mailing Address - Country:US
Mailing Address - Phone:716-741-3883
Mailing Address - Fax:
Practice Address - Street 1:10545 COUNTY RD
Practice Address - Street 2:
Practice Address - City:CLARENCE
Practice Address - State:NY
Practice Address - Zip Code:14031-1007
Practice Address - Country:US
Practice Address - Phone:716-741-3883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2089225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist