| Doctor Name: | DEREK JOHN VANGERWEN |
| NPI Number: | 1386984094 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 08865R |
| Business Practice Address: | 8397 Highway 23 Suite 101 Belle Chasse, LA - 700372648 |
| Business Phone Number: | 5043982004 |
| Business Fax Number: | |
| Mailing Address: | 8397 Highway 23, Suite 101 BELLE CHASSE |
| State: | LA |
| Postal Code: | 700372648 |
| Phone Number: | 5043982004 |
| Fax Number: | |
| NPI Enumeration Date: | 02/18/2013 |
| NPI Last Update Date: | 07/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 08865R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| 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 |