Individual
DERRICK NZEAKOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
711 MATADOR LN, MESQUITE, TX 75149-8830
(972) 532-0885
Mailing address
1311 BINFIELD DR, FORNEY, TX 75126-3639
(469) 952-0943
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2127352
TX
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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