Individual
DEREK GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
14561 N OUTER 40, CHESTERFIELD, MO 63017-5703
(314) 881-4200
Mailing address
14561 N OUTER 40, CHESTERFIELD, MO 63017-5703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2003009409
MO
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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