Individual
DR. DERRICK ANTONIO BRIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DSC, MS, SCS
Contact information
Practice address
1496 STILL MEADOW BLVD STE DANDE, SALISBURY, MD 21804-7511
(443) 365-2729
(443) 365-2730
Mailing address
PO BOX 54, ZEBULON, NC 27597-0054
(252) 367-1118
(800) 505-8690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P11098
NC
2251S0007X
Sports Physical Therapist
11098
NC
2251X0800X
Orthopedic Physical Therapist
P11098
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7212305
—
NC
Enumeration date
06/30/2005
Last updated
01/27/2022
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