DERRICK T ISA

THOUSAND OAKS, CA
NPI1669512372
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT16528)
Enumeration Date2007-02-08
Last Update Date2007-07-08
Business Address
-- DERRICK T ISA MPT, DPT
550 SAINT CHARLES DR SUITE #100
THOUSAND OAKS, CA 91360-3951
Phone number: 805-777-1023
Mailing Address
-- DERRICK T ISA MPT, DPT
550 SAINT CHARLES DR SUITE #100
THOUSAND OAKS, CA 91360-3951
Phone number: 805-777-1023
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