Individual
JOHN FRANCIS DERECHO PASCUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
122 FRANKLIN ST, WILLIAMSPORT, IN 47993-1006
(765) 299-2417
Mailing address
122 FRANKLIN ST, WILLIAMSPORT, IN 47993-1006
(765) 299-2417
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010090A
IN
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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