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MS. ELLA BETH DURHAM CPO, C.PED

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Orthotist

Provider NPI: 1215097050

Provider Information:
MS. ELLA BETH DURHAM CPO, C.PED
Gender: F
Not Sole Proprietor

Practice Location:
2930 E MOORE AVE  SEARCY, AR 72143-4831 US
Tel: 501-368-0868  Fax: 501-368-0003

Business Mailing Address:
2930 E MOORE AVE  SEARCY, AR 72143-4831 US
Tel: 501-368-0868  Fax: 501-368-0003

NPI Information:
NPI: 1215097050
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Orthotist
Y224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Prosthetist

Other Provider Identifiers:

IssuerNumberStateType
457554716AR05



American Medical Association 2012 taxonomy code information

Code: 224P00000X

Type:

Classification:



Definition:



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