Individual
MR. DEREK GUIDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DP, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08302
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08302
PHYSICAL THERAPIST LICENSE
LA
Enumeration date
05/25/2012
Last updated
05/25/2012
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