Individual
DEREK RICHARD AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2281 W 24TH ST STE 10, YUMA, AZ 85364-6197
(928) 344-1656
Mailing address
12020 PACIFIC ST, OMAHA, NE 68154-3507
(800) 259-9897
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305208739
VA
225100000X
Physical Therapist
Primary
LPT-30633
AZ
Other
Enumeration date
06/26/2014
Last updated
04/25/2019
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