Vicky L Derderian in Hamilton - Physical Therapy Assistant

Vicky L Derderian - NPI 1104047778

Vicky L Derderian is a Physical Therapy Assistant in Hamilton, Ohio. Vicky L Derderian practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Vicky L Derderian is 1104047778. The last update date is 2008-09-11.

Vicky L Derderian's current location address is 3923 Hickory View Dr., Hamilton, Ohio. You can contact this provider via phone number 5138953229. The mailing address for Vicky L Derderian is 3923 Hickory View Dr., Hamilton, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Vicky L Derderian
Address 3923 Hickory View Dr., Hamilton, Ohio
Phone Number 5138953229
Fax Number
Sole Proprietor N
Credentials LPTA

NPI Number Detail

NPI Number 1104047778
Provider Enumeration Date 2007-05-01
Last Updated Date 2008-09-11

Provider Mailing Address Detail

Address 3923 Hickory View Dr.
City Hamilton
State Ohio (OH)
Post Code 45011
Phone Number 5138953229
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No PTA-1103
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Vicky L Derderian

What is the unique identifier code issued to Vicky L Derderian by the Centers for Medicare & Medicaid Services (CMS)?

The Vicky L Derderian has been assigned the NPI (National Provider Identifier) 1104047778. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Vicky L Derderian is geographically located?

The Vicky L Derderian is physically situated at the following location: 3923 Hickory View Dr., Hamilton, OH, 45011.

What is Vicky L Derderian's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Vicky L Derderian is Physical Therapy Assistant, and the taxonomy code that classifies this field of practice is 225200000X.

On what date did Vicky L Derderian receive its 1104047778 assignment from the Centers for Medicare & Medicaid Services?

The Vicky L Derderian was assigned its 1104047778 on 2007-05-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Vicky L Derderian, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Vicky L Derderian, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-09-11.

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