Individual
CHRISTOPHER DERREVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2152 E 88TH AVE, DENVER, CO 80229
(303) 227-0400
Mailing address
1451 24TH ST APT 481, DENVER, CO 80205-2192
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0015300
CO
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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