Individual provider · NPI-1

Dr. Derrick Javier Belan, DPT

Physical Therapist · Addison, TX

NPI number1669012852
StatusActive
Last updated in NPPESJan 15, 2020

Details

NPI
1669012852
Entity type
Individual (NPI-1)
Name
Dr. Derrick Javier Belan
Credential
DPT
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 15, 2020
Certification date
Jan 15, 2020
Last updated
Jan 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1326256TXYes

Practice location

14665 Midway Rd Ste 110
Addison, TX 75001-3185

Phone 972-382-9992

Mailing address

19251 Preston Rd Apt 2806
Dallas, TX 75252-8542

Phone 409-679-6639

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