Individual
DR. TODD LEWIS DERSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
113 BRALEY HILL RD, ROCHESTER, MA 02770-1917
(607) 329-4036
Mailing address
113 BRALEY HILL RD, ROCHESTER, MA 02770-1917
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1993
ME
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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