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Individual

DEREK PAUL DECORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9401 W THUNDERBIRD RD STE 190, PEORIA, AZ 85381-4251
(623) 977-5451
Mailing address
9401 W THUNDERBIRD RD, PEORIA, AZ 85381-4233

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
047136
NY
225100000X
Physical Therapist
40QA02233500
NJ
225100000X
Physical Therapist
CP043129T
VA
225100000X
Physical Therapist
Primary
CP048646T
AZ

Other

Enumeration date
04/15/2021
Last updated
08/29/2025
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