Individual
MR. RICHARD ALLAN DERRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
315 W 55TH ST, APT. 3A, NEW YORK, NY 10019-4503
(212) 247-2745
Mailing address
315 W 55TH ST, APT. 3A, NEW YORK, NY 10019-4503
(212) 247-2745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
019749
NY
225700000X
Massage Therapist
Primary
004340
NY
Other
Enumeration date
05/07/2007
Last updated
09/11/2025
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