MR. CORNELIUS DUNCAN CTRS NPI 1316536899

NPI Information

NPI: 1316536899
Provider Name: MR. CORNELIUS DUNCAN, CTRS
Classification: Recreation Therapist - 225800000X
Entity Type: Individual
Address:
1826 VETERANS BLVD
DUBLIN, GA
ZIP 31021
Phone: (205) 516-8489
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MR. Cornelius Duncan, CTRS is a recreation therapist in Dublin, GA. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. MR. Cornelius Duncan, CTRS NPI is 1316536899. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1826 VETERANS BLVD
DUBLIN, GA
ZIP 31021-620
Phone: (205) 516-8489

The enumeration date for this NPI number is 1/11/2021 and was last updated on 1/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225800000X	Recreation Therapist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	59739	OTHER	ALABAMA	NCTRC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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