Derrick Boyd, PTA, BS

NPI #1376153874 in Godfrey, Illinois

Provider Information

NPI Number: 1376153874
Entity Type: Individual
Name: Derrick Boyd, PTA, BS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA, BS
Enumeration Date: Aug 9, 2020
Last Updated: Nov 18, 2020

Practice Location

Address: 1373 DADRIAN PROFESSIONAL PARK
City: Godfrey
State: Illinois
ZIP Code: 62035-1767
Phone: (706) 261-8467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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