Provider Demographics
NPI:1447448469
Name:DUNCAN THERAPY CENTERS, INC
Entity type:Organization
Organization Name:DUNCAN THERAPY CENTERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:434-528-4501
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305001886261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
C06028Medicare PIN