Doctor Name: | MRS. VICKIE CHRISTINE DURHAM |
NPI Number: | 1043599970 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS |
License Number: | 811 |
Business Practice Address: | 9880 Brockington Rd Suite 147 Sherwood, AR - 721203585 |
Business Phone Number: | 5019447819 |
Business Fax Number: | 5012511165 |
Mailing Address: | 4809 Highway 67, BENTON |
State: | AR |
Postal Code: | 720157867 |
Phone Number: | 5014259616 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2011 |
NPI Last Update Date: | 08/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 811 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |