Lauren Derby DPT

NPI 1790125847 - Physical Therapist - 225100000X

NPI Details
NPI 1790125847
Gender Female
Enumeration Date 07/02/2013
Last Updated 07/03/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
4456 BLACK AVE
STE 150
PLEASANTON CA, 94566-6146, US
Phone (925) 426-6986
Fax
Business Location
4456 BLACK AVE
STE 150
PLEASANTON CA, 94566-6146, US
Phone (925) 426-6986
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number 39943
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According to our database, Lauren Derby DPT NPI is 1790125847, taxonomy code is 225100000X and license number is 39943, license state is located at California. Lauren Derby DPT physically located at 4456 Black Ave, Pleasanton CA, 94566-6146. NPI Number Lauren Derby DPT has the Individual type.

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1790125847 NPI number is provided on an as is basis without warranty of any kind. 1790125847 is maintained by the National Plan & Provider Enumeration System. The contents of Lauren Derby DPT are for informational purposes only.