Individual
DERICK MARCEL COE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
63 PRIDGEN RD, LUMBERTON, NC 28358-9726
(910) 608-0202
Mailing address
63 PRIDGEN RD, LUMBERTON, NC 28358-9726
(910) 608-0202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9397
NC
Other
Enumeration date
10/13/2008
Last updated
08/07/2020
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