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1972534063
DEREK T DAVID
LAFAYETTE, LA
NPI
1972534063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA LA01589)
Enumeration Date
2006-07-06
Last Update Date
2022-06-14
Business Address
DEREK T DAVID P.T.
99 W MARTIAL AVE
LAFAYETTE, LA 70508-6583
Phone number: 337-962-3461
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Mailing Address
DEREK T DAVID P.T.
417 GORDON CROCKET DR
LAFAYETTE, LA 70508-5162
Phone number: 337-962-3461
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