DERREK BAX

VIRGINIA BEACH, VA
NPI1326633173
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306605840)
Enumeration Date2021-03-03
Last Update Date2021-03-03
Business Address
DERREK BAX
4560 PRINCESS ANNE RD
VIRGINIA BEACH, VA 23462-7905
Phone number: 757-495-4211
Mailing Address
DERREK BAX
213 DOCTOR DR
VIRGINIA BEACH, VA 23452-6703
Phone number: 573-690-7039
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