Individual
DEREK WILLIAM WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2032 NEW CASTLE AVE, NEW CASTLE, DE 19720
(302) 654-1700
(602) 654-9474
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0003916
DE
Other
Enumeration date
03/21/2018
Last updated
05/30/2018
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