Individual
DERRICK HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14058 BEE CAVE PKWY, BEE CAVES, TX 78738-7071
(512) 872-8170
Mailing address
9101 LA CRESADA DR APT 1823, AUSTIN, TX 78749-4041
(828) 337-1469
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2145541
TX
Other
Enumeration date
12/24/2020
Last updated
12/24/2020
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