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Darci Debaun, PT
Pediatric Physical Therapist in Lawrenceville, Georgia
NPI 1164589990

Darci Debaun is a Pediatric Physical Therapist based in Tucker, GA and is specialized in Pediatrics. Darci Debaun practices in Lawrenceville, GA and has the professional credentials of PT. The NPI Number for Darci Debaun is 1164589990 and holds a License No. PT007355 (Georgia).

The current practice location address for Darci Debaun is 318 W Pike St, Lawrenceville, GA and can be reached out via phone at 678-377-2833 and via fax at 678-377-2882.

Location: 318 W Pike St, Lawrenceville, GA, 30084-1279
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164589990
Provider Name
Darci Debaun
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
318 W Pike St, Lawrenceville, GA, 30084-1279
Phone Number
678-377-2833
Fax Number
678-377-2882
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
307936 01 GA WELLCARE #
10037623 01 GA AMERIGROUP #
institution
Provider Business Practice Location Address Details
Address
318 W Pike St
City
Lawrenceville
State
Georgia
Zip
30045-3234
Phone Number
678-377-2833
Fax Number
678-377-2882
person
Provider Business Mailing Address Details
Address
318 W Pike St
City
Lawrenceville
State
Georgia
Zip
30045-3234
Phone Number
678-377-2833
Fax Number
678-377-2882
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
PT007355 (Georgia)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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