Vanderroest, Derek

Vanderroest, Derek is an individual health care provider with primary practice located at 3117 Stillwater Dr , Prescott AZ 86305-7164. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Vanderroest, Derek can be contacted via phone (928) 442-0005.

Contact Information

Primary practice address
3117 Stillwater Dr Prescott AZ 86305-7164
Phone: (928) 442-0005
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 9028A Arizona

Profile Details

NPI number 1720395023
LBN Legal business name Vanderroest, Derek
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2010
Last updated Sep 8th, 2010 - about 15 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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