DERICK TOM

LONG BEACH, CA
NPI1801221890
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-09-09
Last Update Date2019-08-26
Business Address
DERICK TOM
2021 N. BEVERLY PLAZA APT#142
LONG BEACH, CA 90815
Phone number: 909-993-7663
Mailing Address
DERICK TOM
2021 N. BEVERLY PLAZA APT#142
LONG BEACH, CA 90815
Phone number: 909-993-7663