Individual
DEREK OVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 LONGSDORF WAY, CARLISLE, PA 17015-7623
(717) 245-9941
Mailing address
7 SUSSEX DR, CARLISLE, PA 17013-4800
(717) 386-9328
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002990
PA
Other
Enumeration date
02/21/2016
Last updated
02/21/2016
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