Individual
DEREK MANTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, PTA
Contact information
Practice address
31461 RANCHO VIEJO RD, SUITE 101, SAN JUAN CAPISTRANO, CA 92675-1864
(949) 542-5000
(949) 419-2650
Mailing address
31461 RANCHO VIEJO RD, SUITE 101, SAN JUAN CAPISTRANO, CA 92675-1864
(949) 542-5000
(949) 419-2650
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10299
CA
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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