NPI 1205059870

Lisa S Duckworth, PTA

Practitioner Physical Therapy Assistant Warner Robins, GA

Practice location

Address: 3051 Watson Blvd, Warner Robins, GA 31093-8536
Phone: (478) 953-7556
Fax: (478) 953-4677
Mailing address: 1060 John E Sullivan Rd, Byron, GA 31008-5608

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1494 (GA)

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Registry record

NPI: 1205059870
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.