Derek Vanderroest, PTA

NPI #1720395023 in Prescott, Arizona

Provider Information

NPI Number
1720395023
Entity Type
Individual
Name
Derek Vanderroest, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Sep 8, 2010
Last Updated
Sep 8, 2010

Practice Location

Address
3117 STILLWATER DR
State
Arizona
ZIP Code
86305-7164
Phone
(928) 442-0005

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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