Individual
DR. DERRICK STEVEN BREEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
400 BROADWAY AVE N, FOLEY, MN 56329-8794
(320) 968-4677
Mailing address
1855 HIGHWAY 47, OGILVIE, MN 56358-9080
(612) 910-1589
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10647
MN
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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