Provider Demographics
NPI:1548363682
Name:CHRISTIE, DUANE KHARI (MPT)
Entity type:Individual
Prefix:DR
First Name:DUANE
Middle Name:KHARI
Last Name:CHRISTIE
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:681 NW 7TH TERRACE
Mailing Address - Street 2:UNIT#106
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024
Mailing Address - Country:US
Mailing Address - Phone:954-610-0706
Mailing Address - Fax:
Practice Address - Street 1:5149 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-4507
Practice Address - Country:US
Practice Address - Phone:954-900-8857
Practice Address - Fax:954-337-0403
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2017-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT20307225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist