Derek Enterprises LLC

NPI #1659457158 in W Hazleton, Pennsylvania

Provider Information

NPI Number: 1659457158
Entity Type: Organization
Organization Name: Derek Enterprises LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 27, 2006
Last Updated: Oct 25, 2023

Practice Location

Address: 106 ROTARY DRIVE
Address 2: VALMONT INDUSTRIAL PARK
City: W Hazleton
State: Pennsylvania
ZIP Code: 18202
Phone: (570) 459-6333

Authorized Official

Name: MR. DON R CASSETORI
Title: BUSINESS MGR TREAS
Phone: (570) 823-7761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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