| NPI | 1598357683 |
|---|---|
| Doing Business As | MD PHYSICAL THERAPY CENTER FOR LONGEVITY |
| Doing Business As | MARION MARKETTIA DUNCAN |
| Entity Type | Organization |
| Authorized Contact | MARION MARKETTIA DUNCAN AO/PT 142-371-8162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-02-09 |