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DERRICK PENTICUFF
Physical Therapist
NPI: 1770107179IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2020
Contact & Hours
- Address
- 4115 CLUB MANOR DR
PUEBLO, CO 81008 - Phone
- (968) 568-9790
Quick Facts
- NPI
- 1770107179
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 6
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