Individual
MR. DERRICK CARL CRAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
931 HIGHWAY 331 UNIT H, DEFUNIAK SPRINGS, FL 32435
(850) 892-7644
(850) 892-0420
Mailing address
931 HIGHWAY 331 UNIT H, DEFUNIAK SPRINGS, FL 32435
(850) 892-7644
(850) 892-0420
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
38368
FL
225100000X
Physical Therapist
PT2458
OK
225100000X
Physical Therapist
Primary
PT38368
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100835470A
MEDICAID LEGACY
—
05
—
100835470A
—
OK
01
—
243700402
MEDICARE LEGACY
—
01
—
7347031
AETNA
—
Enumeration date
10/05/2006
Last updated
04/01/2025
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