Individual
DERREK FRESHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
827 W 13TH ST, ROCHESTER, IN 46975-2502
(574) 223-4331
Mailing address
827 W 13TH ST, ROCHESTER, IN 46975-2502
(574) 223-4331
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011799A
IN
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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