Michael Derry

NPI #1285015024 in Ponte Vedra, Florida

Provider Information

NPI Number: 1285015024
Entity Type: Individual
Name: Michael Derry
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 17, 2015
Last Updated: Jun 8, 2020

Practice Location

Address: 131 VALLEY GROVE DR
City: Ponte Vedra
State: Florida
ZIP Code: 32081-6165
Phone: (309) 267-9873

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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