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Individual

DERRICK T ABRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
4801 S. BUCKNER BLVD. SUITE 200, DALLAS, TX 75227-2375
(214) 381-7700
(214) 381-7702
Mailing address
4801 S. BUCKNER BLVD. SUITE 200, DALLAS, TX 75227-2375
(214) 381-7700
(214) 381-7702

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1210496
TX

Other

Enumeration date
09/05/2012
Last updated
09/05/2012
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