Individual
DEREK JOHN VANGERWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8397 HIGHWAY 23, SUITE 101, BELLE CHASSE, LA 70037-2648
(504) 398-2004
Mailing address
8397 HIGHWAY 23, SUITE 101, BELLE CHASSE, LA 70037-2648
(504) 398-2004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08865R
LA
Other
Enumeration date
02/18/2013
Last updated
07/24/2014
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