Provider Demographics
NPI:1649386640
Name:DUNCAN, THOMAS (PT)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:TED
Other - Middle Name:
Other - Last Name:DUNCAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1817 LANGHORNE SQ
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1017
Mailing Address - Country:US
Mailing Address - Phone:434-528-4501
Mailing Address - Fax:434-846-2144
Practice Address - Street 1:1817 LANGHORNE SQ
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1017
Practice Address - Country:US
Practice Address - Phone:434-528-4501
Practice Address - Fax:434-846-2144
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23050018862251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA035825OtherANTHEM BCBS
VA035825OtherANTHEM BCBS