Individual
DEREK TOTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2800 S FORT AVE, SPRINGFIELD, MO 65807-3480
(417) 882-0035
Mailing address
2800 S FORT AVE, SPRINGFIELD, MO 65807-3480
(417) 882-0035
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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