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Individual

DERRECK J CREWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
343 WELLSIAN WAY, RICHLAND, WA 99352-4107
(509) 946-9191
(509) 946-8247
Mailing address
7201 W CLEARWATER AVE STE B101, KENNEWICK, WA 99336-1694
(509) 544-0265
(509) 987-1614

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61044062
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT61044062
PHYSICAL THERAPY LICENSE
WA
Enumeration date
06/09/2021
Last updated
06/09/2021
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