MS. Candice E Derusha, PT
NPI #1104087097 in Concord, New Hampshire
Provider Information
- NPI Number
- 1104087097
- Entity Type
- Individual
- Name
- MS. Candice E Derusha, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Jun 23, 2008
- Last Updated
- Jun 23, 2008
Practice Location
- Address
- 264 PLEASANT ST
- City
- Concord
- State
- New Hampshire
- ZIP Code
- 03301-2551
- Phone
- (603) 228-4610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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