Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derrick Wayne Raburn, PT

Individual provider Physical Therapist · NPI 1831136308

Derrick Wayne Raburn, PT is a Physical Therapist in Bermuda Dunes, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

78078 Country Club Dr Ste 205
Bermuda Dunes, CA 92203-8173
Phone: (760) 345-9934
Fax: (760) 345-3086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT20241 (CA)

Record details

NPI number1831136308
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 1, 2006
Last updated in NPPESJuly 8, 2007

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