Provider Demographics
NPI:1982841664
Name:DUVALL, REBECCA C (DC)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:C
Last Name:DUVALL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 US HIGHWAY 17 S
Mailing Address - Street 2:
Mailing Address - City:BARTOW
Mailing Address - State:FL
Mailing Address - Zip Code:33830-6626
Mailing Address - Country:US
Mailing Address - Phone:863-804-0000
Mailing Address - Fax:
Practice Address - Street 1:1335 US HIGHWAY 17 S
Practice Address - Street 2:
Practice Address - City:BARTOW
Practice Address - State:FL
Practice Address - Zip Code:33830-6626
Practice Address - Country:US
Practice Address - Phone:863-804-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-16
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9693111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor