Mr. Derek Willard, PTA
Mr. Derek Willard, PTA is a Physical Therapy Assistant in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2016.
- Licensed in
- FL
- In the registry since
- 2016
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
6918 Gunn HwyTampa, FL 33625-3853
Phone: (813) 774-6911
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence PTA25631 (FL) |
|---|
Record details
| NPI number | 1518319375 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PTA |
| Sole proprietor | No |
| NPI enumerated | July 5, 2016 |
| Last updated in NPPES | July 5, 2016 |
| Mailing address | 1200 Lexington Green Ln, Sanford, FL 32771-1013 |
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