DEREK A WILLIS

PARAMUS, NJ
NPI1851634521
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01490500)
Enumeration Date2013-04-01
Last Update Date2013-04-01
Business Address
-- DEREK A WILLIS DPT
80 EAST RIDWOOD AVE SUITE B
PARAMUS, NJ 07652
Phone number: 201-652-1415
Mailing Address
-- DEREK A WILLIS DPT
11 EAGLE ROCK AVE
EAST HANOVER, NJ 07936
Phone number: 973-887-9000