Derrick J O'gara, PTA

NPI #1104436989 in Duette, Florida

Provider Information

NPI Number
1104436989
Entity Type
Individual
Name
Derrick J O'gara, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Aug 5, 2020
Last Updated
Aug 5, 2020

Practice Location

Address
32655 TAYLOR GRADE RD
City
Duette
State
Florida
ZIP Code
34219-7916
Phone
(712) 209-5015

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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