Individual
JOHN JOSEPH DERIENZIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2165 MEDICAL PARK DR, HICKORY, NC 28602-8809
(828) 294-9130
(828) 291-9159
Mailing address
2165 MEDICAL PARK DR, HICKORY, NC 28602-8809
(828) 294-9130
(828) 291-9159
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7691
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12527
BCBS
NC
Enumeration date
05/17/2006
Last updated
01/25/2023
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