Deric Fenzl, DPT

NPI #1699295162 in Pryor, Oklahoma

Provider Information

NPI Number: 1699295162
Entity Type: Individual
Name: Deric Fenzl, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 26, 2017
Last Updated: Jun 26, 2017

Practice Location

Address: 1486 S ELLIOTT ST
City: Pryor
State: Oklahoma
ZIP Code: 74361-8002
Phone: (918) 825-2333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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