Provider Demographics
NPI:1871911131
Name:DUCK, SONYA (PT)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:DUCK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2794 HIGHWAY 60
Mailing Address - Street 2:
Mailing Address - City:PENDERGRASS
Mailing Address - State:GA
Mailing Address - Zip Code:30567-2826
Mailing Address - Country:US
Mailing Address - Phone:706-870-1268
Mailing Address - Fax:
Practice Address - Street 1:2794 HIGHWAY 60
Practice Address - Street 2:
Practice Address - City:PENDERGRASS
Practice Address - State:GA
Practice Address - Zip Code:30567-2826
Practice Address - Country:US
Practice Address - Phone:706-870-1268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-03
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT006037225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist