Individual
MR. DERRICK JASON BRUMFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1000 W PARK AVE, LOGAN, WV 25601-3155
(304) 752-8723
(304) 752-8728
Mailing address
1000 W PARK AVE, LOGAN, WV 25601-3155
(304) 752-8723
(304) 752-8728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002504
WV
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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