Jennifer Lee Derham in Mesa - Physical Therapist
Jennifer Lee Derham - NPI 1720124357
Jennifer Lee Derham is a Physical Therapist in Mesa, Arizona. Jennifer Lee Derham practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jennifer Lee Derham is 1720124357. The last update date is 2023-11-14.
Jennifer Lee Derham's current location address is 11453 E Reuben Ave, Mesa, Arizona. You can contact this provider via phone number 4257509526. The mailing address for Jennifer Lee Derham is 11453 E Reuben Ave, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Lee Derham |
|---|---|
| Address | 11453 E Reuben Ave, Mesa, Arizona |
| Phone Number | 4257509526 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1720124357 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2023-11-14 |
Provider Mailing Address Detail
| Address | 11453 E Reuben Ave |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852124113 |
| Phone Number | 4257509526 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 7452 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 226582 | WA | L&I | |
| 8841BE | WA | REGENCE | |
| 8156BE | WA | REGENCE | |
| 8946137 | WA | L&I CRIME | |
| 8869473 | WA | MEDICARE | |
| 3317BE | WA | REGENCE B/S | |
| 8498560 | WA | DSHS | |
| 9788127 | WA | AETNA | |
| P00608949 | WA | RAILROAD MEDICARE | |
| 6417BE | WA | REGENCE |
Post Comment/ Review Below
What is the Jennifer Lee Derham's unique identification number?
The Jennifer Lee Derham has been assigned the NPI (National Provider Identifier) Number 1720124357 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Jennifer Lee Derham is physically located?
The Jennifer Lee Derham is situated at the following address: 11453 E Reuben Ave, Mesa, AZ 852124113.
What is Jennifer Lee Derham's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jennifer Lee Derham is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720124357 to Jennifer Lee Derham?
The Centers for Medicare & Medicaid Services assigned the 1720124357 to Jennifer Lee Derham on 2007-01-30.
As of what date were the details related to Jennifer Lee Derham most recently updated or revised?
The information pertaining to Jennifer Lee Derham, including its address, specialty, and other relevant details, was last updated or revised on 2023-11-14.
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