MR. DERICK PAGE, PTA

Physical Therapy Assistant

Active Individual
NPI: 1629270624

Practice Address

1330 PRAIRIE AVE
Cheyenne, WY 82009

Phone: (307) 778-8997

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 2306001374 (VA)

Frequently Asked Questions

NPI 1629270624 is the National Provider Identifier for MR. DERICK PAGE, PTA, a Physical Therapy Assistant provider located in Cheyenne, WY. This NPI was enumerated on June 1, 2007.
MR. DERICK PAGE, PTA practices at 1330 PRAIRIE AVE, Cheyenne, WY 82009.

Quick Facts

NPI
1629270624
Type
Individual
Enumerated
Jun 1, 2007
Last Updated
Jul 8, 2007

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