Individual
DERRICK A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2240 5TH AVE STE 101, HUNTINGTON, WV 25703-1290
(304) 525-4445
(304) 529-7449
Mailing address
2240 5TH AVE STE 101, HUNTINGTON, WV 25703-1290
(304) 525-4445
(304) 529-7449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003968
WV
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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