Individual
AMANDA MARJORIE DERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3541 HIGHWAY 81, LOGANVILLE, GA 30052-4336
(678) 495-2990
Mailing address
3541 HIGHWAY 81, LOGANVILLE, GA 30052-4336
(470) 269-6985
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018233
GA
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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