Individual
DEREK WIDENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1221 N DUTTON AVE, SANTA ROSA, CA 95401-4607
(707) 543-8360
Mailing address
1221 N DUTTON AVE, SANTA ROSA, CA 95401-4607
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6568
CA
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us