Individual
DR. DERICK HENRY ROLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
815 N CLARE AVE STE A, HARRISON, MI 48625-8177
(989) 741-2205
Mailing address
3827 E HASKELL LAKE RD, HARRISON, MI 48625-8792
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016795
MI
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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