Individual
ERICUS T DERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1915 N PERRY ST, PONTIAC, MI 48340-2237
(615) 778-4066
Mailing address
720 COOL SPRINGS BLVD, SUITE 300, FRANKLIN, TN 37067-2626
(615) 778-4066
(615) 778-9114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005585
MI
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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