Doctor Name: | TASHIDA A. DEROUX |
NPI Number: | 1285699710 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 21066 |
Business Practice Address: | 10403 Hospital Dr Clinton, MD - 207353134 |
Business Phone Number: | 3018560050 |
Business Fax Number: | 3018560518 |
Mailing Address: | 7503 Surratts Rd, CLINTON |
State: | MD |
Postal Code: | 207353358 |
Phone Number: | 3018707001 |
Fax Number: | 3018706697 |
NPI Enumeration Date: | 04/18/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 21066 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |