Individual provider · NPI-1

Derrick T Abraham, P.T.

Physical Therapist · Dallas, TX

NPI number1346599453
StatusActive
Last updated in NPPESSep 5, 2012

Details

NPI
1346599453
Entity type
Individual (NPI-1)
Name
Derrick T Abraham
Credential
P.T.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 5, 2012
Last updated
Sep 5, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1210496TXYes

Practice location

4801 S. Buckner Blvd. Suite 200
Dallas, TX 75227-2375

Phone 214-381-7700 · Fax 214-381-7702

Mailing address

4801 S. Buckner Blvd. Suite 200
Dallas, TX 75227-2375

Phone 214-381-7700 · Fax 214-381-7702

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