Individual
MR. DEREK JR MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11340 W BELL RD STE A-101, SURPRISE, AZ 85378-9342
(623) 226-6644
Mailing address
15954 N NAEGEL DR, SURPRISE, AZ 85374-5200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8729A
AZ
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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