Gregory James Deramus, PTA

NPI #1396111506 in Forest, Virginia

Provider Information

NPI Number: 1396111506
Entity Type: Individual
Name: Gregory James Deramus, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 12, 2015
Last Updated: Aug 12, 2015

Practice Location

Address: 108 FOX CHASE LN
City: Forest
State: Virginia
ZIP Code: 24551-2514
Phone: (434) 401-6338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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