Darci Debaun, P.T.
Physical Therapist, Pediatrics in Lawrenceville, GA. Individual provider (NPI-1).
NPI number1164589990
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1164589990
- Entity type
- Individual (NPI-1)
- Name
- Darci Debaun
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 2, 2007
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | PT007355 | GA | Yes |
| 2251P0200X | Physical Therapist, Pediatrics | 2001017942 | MO |
Practice location
318 W Pike StSuite 104
Lawrenceville, GA 30045-3234
Phone 678-377-2833 · Fax 678-377-2882
Mailing address
3391 Shorelake DrTucker, GA 30084-1279
Phone 770-270-1479
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All 25 Pediatric Physical Therapist providers in Lawrenceville · All 5,967 providers in Lawrenceville
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