Relyea, Derrien

Relyea, Derrien is an individual health care provider with primary practice located at 6400 N Santa Fe Ave Ste B, Oklahoma City OK 73116-9126. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Relyea, Derrien can be contacted via phone (405) 840-2903.

Contact Information

Primary practice address
6400 N Santa Fe Ave Ste B Oklahoma City OK 73116-9126
Phone: (405) 840-2903
Fax: (405) 840-3256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2774 Oklahoma

Profile Details

NPI number 1366445488
LBN Legal business name Relyea, Derrien
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Mar 29th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366445488 NPPES
Texas Other 8T1600 BCBS PAR PLAN PROVIDER #
Texas Other 8T1600 BCBS PAR PLAN PROVIDER #

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