Individual
MR. JOHN H DERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, PT
Contact information
Practice address
2410 BURTON ST SE, GRAND RAPIDS, MI 49546-4806
(616) 285-6848
Mailing address
2706 CAPILANO DR SE, GRAND RAPIDS, MI 49546-5579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501001514
MI
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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