Doctor Name: | DR. DEREK C DAVIDSON |
NPI Number: | 1326238718 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O., MSPT |
License Number: | 17700 |
Business Practice Address: | 21 Pinecrest Ave Peabody, MA - 019604541 |
Business Phone Number: | 9785027931 |
Business Fax Number: | |
Mailing Address: | 21 Pinecrest Ave, PEABODY |
State: | MA |
Postal Code: | 019604541 |
Phone Number: | 9785027931 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2007 |
NPI Last Update Date: | 06/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 17700 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
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 |