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1851886816
DERRICK TALLEY
GOODYEAR, AZ
NPI
1851886816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 30017)
Enumeration Date
2018-06-22
Last Update Date
2022-03-02
Business Address
DERRICK TALLEY DPT
1626 N LITCHFIELD RD STE 310
GOODYEAR, AZ 85395-1397
Phone number: 623-935-0734
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Mailing Address
DERRICK TALLEY DPT
14287 N 87TH ST STE 220
SCOTTSDALE, AZ 85260-3698
Phone number: 602-329-8250
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