Derek Merriman PTA

NPI 1619134459 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1619134459
Gender Male
Enumeration Date 05/20/2008
Last Updated 05/20/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
711 AVIGNON DR
RIDGELAND MS, 39157-5120, US
Phone (601) 605-6777
Fax (601) 605-8869
Business Location
711 AVIGNON DR
RIDGELAND MS, 39157-5120, US
Phone (601) 605-6777
Fax (601) 605-8869
Toxanomy
Taxonomy Code 225200000X
License State Mississippi
License Number PTA3824
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According to our database, Derek Merriman PTA NPI is 1619134459, taxonomy code is 225200000X and license number is PTA3824, license state is located at Mississippi. Derek Merriman PTA physically located at 711 Avignon Dr, Ridgeland MS, 39157-5120. NPI Number Derek Merriman PTA has the Individual type.

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1619134459 NPI number is provided on an as is basis without warranty of any kind. 1619134459 is maintained by the National Plan & Provider Enumeration System. The contents of Derek Merriman PTA are for informational purposes only.