Individual
DEREK ALEXANDER DELUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
141 BOSTON POST RD, SUDBURY, MA 01776-2405
(978) 295-5306
(978) 440-8117
Mailing address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-7070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24645
MA
2251X0800X
Orthopedic Physical Therapist
5501018825
MI
Other
Enumeration date
08/31/2018
Last updated
11/18/2019
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