Individual
DEREK L WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
6059 CHINKAPIN DR, COLUMBUS, IN 47201-8448
(812) 447-9891
Mailing address
6059 CHINKAPIN DR, COLUMBUS, IN 47201-8448
(812) 447-9891
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008312A
IN
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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