Bothwell, Derick Deante

Bothwell, Derick Deante is an individual health care provider with primary practice located at 464 Saint Lukes Dr , Montgomery AL 36117-7104. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Bothwell, Derick Deante can be contacted via phone (334) 244-6699.

Contact Information

Primary practice address
464 Saint Lukes Dr Montgomery AL 36117-7104
Phone: (334) 244-6699
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1-1087 Alabama
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1839 Alabama

Profile Details

NPI number 1174135768
LBN Legal business name Bothwell, Derick Deante
Credentials DPT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2020
Last updated Mar 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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