Individual
DERRICK CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 FRANKLIN AVE, NUTLEY, NJ 07110-2924
(973) 542-8355
Mailing address
108 SMALLWOOD AVE, BELLEVILLE, NJ 07109-1382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01737300
NJ
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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