Derrick Carrillo
NPI #1730572801 in Menifee, California
Provider Information
- NPI Number
- 1730572801
- Entity Type
- Individual
- Name
- Derrick Carrillo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Mar 12, 2015
- Last Updated
- Mar 12, 2015
Practice Location
- Address
- 29650 BRADLEY RD
- City
- Menifee
- State
- California
- ZIP Code
- 92586-6521
- Phone
- (951) 672-0455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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