IndividualActive
Allan Derize
NPI 1386304459 · Physical Therapy Assistant · Eustis, FL
Provider details
- NPI number
- 1386304459
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 31681 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
863 Marietta Ln
Eustis, FL 32726-5143
Phone: (352) 357-4147
Approximate (ZIP-level) locationGet directions
Mailing address
863 Marietta Ln
Eustis, FL 32726-5143
Registry dates
- Enumerated
- 2021-12-30
- Last updated
- 2021-12-30
- Certified
- 2021-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.