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Individual

DEREK RYAN SPEAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1781 WILLOW WIND DR, GROVE CITY, OH 43123-1239
(419) 307-8150
Mailing address
1781 WILLOW WIND DR, GROVE CITY, OH 43123-1239
(419) 307-8150

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014521
OH

Other

Enumeration date
10/11/2013
Last updated
12/15/2015
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