Individual
DERICK ALEXANDER MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30837 E THOUSAND OAKS BLVD, WESTLAKE VILLAGE, CA 91362-4039
(818) 879-2091
Mailing address
14844 VALLEY VISTA BLVD, SHERMAN OAKS, CA 91403-4116
(818) 927-8102
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51481
CA
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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