Individual
DEREK ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
16760 LINCOLN ST, GRAND HAVEN, MI 49417-8864
(616) 935-3300
(616) 935-3333
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501020221
MI
Other
Enumeration date
09/13/2021
Last updated
05/04/2023
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