Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK J MC CONNELL, P.T.
Active Sole ProprietorDEREK J MC CONNELL, P.T. is a Specialist healthcare provider located in SPRING LAKE, New Jersey. NPI 1861837742 is currently active in the NPPES registry. Verify at CMS.
Specialist · SPRING LAKE, NJ
Registration Details
- NPI Number
- 1861837742
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 6, 2013 (13.268850969277 yrs)
- Last Updated
- Dec 18, 2020
- License
-
40QA01449100 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1325 WARREN AVESPRING LAKE, NJ, 077622566Browse NJ providers · Browse ZIP 07762
- Phone
- 7324497855
- Fax
- 7324497856
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in SPRING LAKE, NJ
| Name | Credential | NPI |
|---|---|---|
| JILL WELLS | OTR/L | 1043256498 |
| DR. RYAN F KEEGAN | DVM ACVIM | 1417511833 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.