Individual
DEREK VRAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10 MDG 4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-3107
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-3107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0015495
CO
225100000X
Physical Therapist
6382
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
940560700
—
MN
Enumeration date
11/03/2006
Last updated
11/25/2024
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