Provider Demographics
NPI:1558167775
Name:HOUCK, DEBORAH LYNN (PT)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LYNN
Last Name:HOUCK
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CONVERSE RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:MA
Mailing Address - Zip Code:02738-1863
Mailing Address - Country:US
Mailing Address - Phone:508-524-5732
Mailing Address - Fax:
Practice Address - Street 1:30 CONVERSE RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:MA
Practice Address - Zip Code:02738-1863
Practice Address - Country:US
Practice Address - Phone:508-524-5732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist