Individual
MR. DERRICK A. WOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
109 VIERSE DR, FARMINGTON, MO 63640-1323
(573) 756-2937
(573) 756-2939
Mailing address
1155 HAZEL LN, FARMINGTON, MO 63640-1920
(573) 756-2937
(573) 756-2939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2008032045
MO
Other
Enumeration date
12/18/2008
Last updated
07/30/2019
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