Individual
MR. DEREK HAVERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
210 W MAGNOLIA ST STE 110, FORT COLLINS, CO 80521-2915
(970) 221-1201
Mailing address
210 W MAGNOLIA ST STE 110, FORT COLLINS, CO 80521-2915
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
10828
CO
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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