Individual
DEREK LEE MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1195 W FREMONT AVE, SUNNYVALE, CA 94087-3832
(408) 426-5590
Mailing address
870 E EL CAMINO REAL APT 47, MOUNTAIN VIEW, CA 94040-2824
(352) 359-6454
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
293178
CA
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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