| Doctor Name: | DEREK BOEH |
| NPI Number: | 1346627221 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 012701 |
| Business Practice Address: | 6020 S Mason Montgomery Rd Mason, OH - 450403706 |
| Business Phone Number: | 5132046490 |
| Business Fax Number: | 5132046499 |
| Mailing Address: | 4685 Forest Ave C, CINCINNATI |
| State: | OH |
| Postal Code: | 452123359 |
| Phone Number: | 5138534731 |
| Fax Number: | 5138528525 |
| NPI Enumeration Date: | 04/30/2015 |
| NPI Last Update Date: | 08/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 012701 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| 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 |