Derick Tom
Derick Tom is a Student in an Organized Health Care Education/Training Program in Long Beach, California. Works from 2 locations. Registered with an NPI since 2013.
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
2021 N Beverly Plaza APT#142Long Beach, CA 90815
Phone: (909) 993-7663
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 68 Willow Rd, Menlo Park, CA 94025-3653 — (866) 839-6979
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1801221890 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 9, 2013 |
| Last updated in NPPES | August 26, 2019 |
| Mailing address | 2021 N. Beverly Plaza Apt#142, Long Beach, CA 90815 |
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