Individual
DERREK BAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4560 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23462-7905
(757) 495-4211
Mailing address
213 DOCTOR DR, VIRGINIA BEACH, VA 23452-6703
(573) 690-7039
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605840
VA
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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