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Individual

DERRICK TALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1626 N LITCHFIELD RD STE 310, GOODYEAR, AZ 85395-1397
(623) 935-0734
(623) 935-0934
Mailing address
14287 N 87TH ST STE 220, SCOTTSDALE, AZ 85260-3698
(602) 329-8250

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
30017
AZ

Other

Enumeration date
06/22/2018
Last updated
03/02/2022
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