Allan Gasner Derize

NPI #1386304459 in Eustis, Florida

Provider Information

NPI Number: 1386304459
Entity Type: Individual
Name: Allan Gasner Derize
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Dec 30, 2021
Last Updated: Dec 30, 2021

Practice Location

Address: 863 MARIETTA LN
City: Eustis
State: Florida
ZIP Code: 32726-5143
Phone: (352) 357-4147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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