MRS. Vicky L Derderian, LPTA

NPI #1104047778 in Hamilton, Ohio

Provider Information

NPI Number
1104047778
Entity Type
Individual
Name
MRS. Vicky L Derderian, LPTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
LPTA
Enumeration Date
May 1, 2007
Last Updated
Sep 11, 2008

Practice Location

Address
855 STAHLHEBER RD
State
Ohio
ZIP Code
45013-1963
Phone
(513) 844-8004

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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