Individual
DEREK B CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
5002 CROSSINGS CIR, MT JULIET, TN 37122-8419
(615) 553-5500
(615) 758-3875
Mailing address
5002 CROSSINGS CIR, MT JULIET, TN 37122-8419
(615) 553-5500
(615) 758-3875
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7419
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7419
LICENSE #
TN
Enumeration date
08/24/2006
Last updated
07/08/2007
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