Michael Derry
Michael Derry is a Physical Therapist in Ponte Vedra, Florida. Licensed in Florida and Illinois. Registered with an NPI since 2015.
- Licensed in
- FL, IL
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
131 Valley Grove DrPonte Vedra, FL 32081-6165
Phone: (309) 267-9873
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT35704 (FL) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence 070021601 (IL) |
Record details
| NPI number | 1285015024 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 17, 2015 |
| Last updated in NPPES | June 8, 2020 |
| Certification date | June 8, 2020 |
| Mailing address | 131 Valley Grove Dr, Ponte Vedra, FL 32081-6165 |
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