Individual
MRS. VICKY L DERDERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
855 STAHLHEBER RD, HAMILTON, OH 45013-1963
(513) 844-8004
Mailing address
3923 HICKORY VIEW DR., HAMILTON, OH 45011
(513) 895-3229
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-1103
OH
Other
Enumeration date
05/01/2007
Last updated
09/11/2008
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