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1376212357
DEREK ALLEN
GRAND HAVEN, MI
NPI
1376212357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501020221)
Enumeration Date
2021-09-13
Last Update Date
2023-05-04
Business Address
DEREK ALLEN PT
16760 LINCOLN ST
GRAND HAVEN, MI 49417-8864
Phone number: 616-935-3300
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Mailing Address
DEREK ALLEN PT
1311 MAMARONECK AVE STE 140
WHITE PLAINS, NY 10605-5224
Phone number: 914-294-4050
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