Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEANNA ANTOINETTE DUCTOC, MS, ATC, CEAS
Active Sole ProprietorDEANNA ANTOINETTE DUCTOC, MS, ATC, CEAS is a Sports Medicine (PM&R) healthcare provider located in ARLETA, California. NPI 1891410221 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · ARLETA, CA
Registration Details
- NPI Number
- 1891410221
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 7, 2022 (3.8937078489366 yrs)
- Last Updated
- Oct 7, 2022
- License
-
2000011238 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8625 WOODMAN AVEARLETA, CA, 913316504Browse CA providers · Browse ZIP 91331
- Phone
- 2132000355
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.