Individual
JEFFERY ALAN DERHAMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7215 WINDFERN RD, HOUSTON, TX 77040-2301
(713) 466-8933
Mailing address
6135 AUBURN WOODS DR, HOUSTON, TX 77084-6328
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118280
PHYSICAL THERAPIST ASSISTANT
TX
Enumeration date
10/01/2018
Last updated
10/01/2018
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