Individual
BRAILEY LONDON DERREBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4687 BOYLSTON HWY, MILLS RIVER, NC 28759-6731
(828) 890-0040
Mailing address
2 FLYCATCHER WAY, APARTMENT # 203, ARDEN, NC 28704-9632
(828) 557-4548
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5178
NC
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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