Individual
DERRICK A. DEBENEDETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
717 W DUNLAP AVE STE 100, PHOENIX, AZ 85021-3521
(602) 944-2146
(602) 944-2176
Mailing address
14287 N 87TH ST STE 110, SCOTTSDALE, AZ 85260-3698
(602) 329-8250
(480) 565-1898
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11039
AZ
Other
Enumeration date
08/19/2014
Last updated
02/23/2022
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