Derek Widener PTA

  • NPI 1154691624
According to our database, the NPI number for Derek Widener PTA is 1154691624 and activated since 12 years ago. Derek Widener PTA is an individual provider who specializes in Physical Therapy Assistant, and the primary practice location is 1221 N Dutton Ave, Santa Rosa, CA 95401. You can also contact Derek Widener PTA via telephone number is (707) 543-8360. Provider NPI information was last updated on 12/30/2011.

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Overview of Derek Widener PTA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/30/2011
  • Last updated: 12/30/2011

Primary Scrop of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: 6568
  • License State: CA

Provider Mailing Address

  • Address: 1221 N Dutton Ave
    Santa Rosa, CA 95401
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 1221 N Dutton Ave
    Santa Rosa, CA 95401
  • Phone: 707-543-8360
  • Fax:

Scope of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: 6568
  • License State: CA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Derek Widener PTA?
  • A: The npi number for Derek Widener PTA is 1154691624.
  • Q: What are Derek Widener PTA's specialties?
  • A: Derek Widener PTA's specialties are Physical Therapy Assistant and different specialities.
  • Q: What is the medical license for Derek Widener PTA?
  • A: The medical license number for Derek Widener PTA is 6568 and issued in CA in USA.
  • Q: Where is Derek Widener PTA practice location?
  • A: Derek Widener PTA is practicing at 1221 N Dutton Ave, Santa Rosa, CA 95401.
  • Q: How to contact Derek Widener PTA?
  • A: You can contact Derek Widener PTA via 707-543-8360.
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