Individual
DAVID J DERIENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
6321 LIBRARY RD, SOUTH PARK, PA 15129-8502
(412) 833-1986
(412) 833-3255
Mailing address
4609 EASY ST, WEST MIFFLIN, PA 15122-1966
(412) 462-1191
(412) 462-1182
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008610L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016644440004
—
PA
Enumeration date
09/22/2005
Last updated
12/05/2007
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