Individual
DEREK BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2130 CONTINENTAL DR, WEST BEND, WI 53095-7904
(877) 407-3422
(877) 407-4329
Mailing address
7 CARNEGIE PLZ, CHERRY HILL, NJ 08003-1000
(877) 407-3422
(877) 407-4329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP044643T
WI
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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