Individual
MR. DEREK C HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
1613 JIMMIE DAVIS HIGHWAY, SUITE 400, BOSSIER CITY, LA 71112-4557
(318) 423-3798
Mailing address
1613 JIMMIE DAVIS HWY, SUITE 400, BOSSIER CITY, LA 71112-4557
(318) 423-3798
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6387
LA
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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