DERRICK TALLEY

GOODYEAR, AZ
NPI1851886816
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  30017)
Enumeration Date2018-06-22
Last Update Date2022-03-02
Business Address
DERRICK TALLEY DPT
1626 N LITCHFIELD RD STE 310
GOODYEAR, AZ 85395-1397
Phone number: 623-935-0734
Mailing Address
DERRICK TALLEY DPT
14287 N 87TH ST STE 220
SCOTTSDALE, AZ 85260-3698
Phone number: 602-329-8250