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Individual

DEREK S ABBOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13470 BOYETTE RD, RIVERVIEW, FL 33569-5706
(813) 278-5800
Mailing address
11207 SAINT ANDREWS CT, RIVERVIEW, FL 33579-7045
(181) 360-0973

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23475
FL

Other

Enumeration date
02/27/2021
Last updated
02/27/2021
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