Individual
MR. BRET SHERIDAN DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
111 E BROADWAY STE 340, COLUMBIA, MO 65203-4208
(573) 808-2392
(888) 738-3034
Mailing address
111 E BROADWAY STE 340, COLUMBIA, MO 65203-4208
(573) 808-2392
(888) 738-3034
Taxonomy
Speciality
Code
Description
License number
State
2251E1200X
Ergonomics Physical Therapist
01248
MO
2251X0800X
Orthopedic Physical Therapist
Primary
01248
MO
Other
Enumeration date
06/27/2007
Last updated
04/23/2018
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