Individual
DEREK T DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LA01589
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LA01589
LA STATE BOARD OF PHYSICAL THERAPIST
LA
Enumeration date
07/06/2006
Last updated
06/14/2022
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