Derek R Flake PT

NPI 1104154269 - Physical Therapist - 225100000X

NPI Details
NPI 1104154269
Gender Male
Enumeration Date 12/01/2009
Last Updated 05/16/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
2940 E BANNER GATEWAY DR
STE 200
GILBERT AZ, 85234-2171, US
Phone (480) 964-2908
Fax (480) 833-2136
Business Location
PO BOX 29870
PHOENIX AZ, 85038-9870, US
Phone (602) 772-3800
Fax (602) 772-3801
Toxanomy
Taxonomy Code 225100000X
License State Arizona
License Number 8520PT
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According to our database, Derek R Flake PT NPI is 1104154269, taxonomy code is 225100000X and license number is 8520PT, license state is located at Arizona. Derek R Flake PT physically located at 2940 E Banner Gateway Dr, Gilbert AZ, 85234-2171. NPI Number Derek R Flake PT has the Individual type.

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1104154269 NPI number is provided on an as is basis without warranty of any kind. 1104154269 is maintained by the National Plan & Provider Enumeration System. The contents of Derek R Flake PT are for informational purposes only.