Individual
DARRICK LLOYD WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
108 A BLACKBERRY ST, BETHEL, AK 99559-9800
(907) 543-7601
Mailing address
PO BOX 3466, 108 A BLACKBERRY DR, BETHEL, AK 99559
(907) 543-7601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2841
AK
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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