Individual
AMY DERRICK EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
215 W 3RD AVE, GASTONIA, NC 28052-4058
(704) 864-0416
Mailing address
2178 BROOKBERRY LN, GASTONIA, NC 28056-7508
(704) 689-7071
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3454
NC
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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