Derrick Wayne Raburn, PT
NPI #1831136308 in Bermuda Dunes, California
Provider Information
- NPI Number
- 1831136308
- Entity Type
- Individual
- Name
- Derrick Wayne Raburn, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Jun 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 78078 COUNTRY CLUB DR
- Address 2
- SUITE 205
- City
- Bermuda Dunes
- State
- California
- ZIP Code
- 92203-8173
- Phone
- (760) 345-9934
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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