Individual
DEREK STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1207 LIBERTY RD STE 106, ELDERSBURG, MD 21784-6574
(410) 549-5700
(410) 549-6200
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26794
MD
Other
Enumeration date
05/10/2017
Last updated
06/13/2019
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