Derek R Flake, PT

NPI #1104154269 in Lakeside, Arizona

Provider Information

NPI Number: 1104154269
Entity Type: Individual
Name: Derek R Flake, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 1, 2009
Last Updated: Mar 16, 2020

Practice Location

Address: 4830 HIGHWAY 260 STE 105
City: Lakeside
State: Arizona
ZIP Code: 85929-5851
Phone: (928) 532-1221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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