Individual
DERICK RAY HAMPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
105 MCNEIL ST, BENTON, AR 72015-3345
(501) 315-0984
Mailing address
1314 VANDERBUILT DR, BENTON, AR 72019-9563
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3543
AR
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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