Individual ProviderDana DurhamPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5969 N Canton Center Rd, Canton, MI 48187-2757(877) 407-3422PECOS EnrollmentBased on the most recent information from CMS, provider Dana Durham does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1932724622Provider TypeIndividualFull NameDurham, DanaGenderFemaleSole ProprietorNoEnumeration Date6/9/2020Last Updated5/6/2025Contact InformationPractice LocationPractice Address5969 N Canton Center Rd, Canton, MI 48187-2757Phone(877) 407-3422Fax(877) 407-4329Mailing LocationMailing Address8633 Sun Park Dr, Zeeland, MI 49464-8315PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5501011870MichiganCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer