Maxine A Derreberry in Easton - Physical Therapy Assistant
Maxine A Derreberry - NPI 1790810406
Maxine A Derreberry is a Physical Therapy Assistant in Easton, Pennsylvania. Maxine A Derreberry practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Maxine A Derreberry is 1790810406. The last update date is 2007-07-09.
Maxine A Derreberry's current location address is 2222 Sullivan Trl, Easton, Pennsylvania. You can contact this provider via phone number 6109912034. The mailing address for Maxine A Derreberry is 2222 Sullivan Trl, Easton, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maxine A Derreberry |
|---|---|
| Address | 2222 Sullivan Trl, Easton, Pennsylvania |
| Phone Number | 6109912034 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1790810406 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2222 Sullivan Trl |
|---|---|
| City | Easton |
| State | Pennsylvania (PA) |
| Post Code | 180407958 |
| Phone Number | 6109912034 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Maxine A Derreberry?
The Maxine A Derreberry has been issued the NPI (National Provider Identifier) 1790810406 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Maxine A Derreberry is located?
The Maxine A Derreberry is situated at the following address: 2222 Sullivan Trl, Easton, PA, 180407958.
What is Maxine A Derreberry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Maxine A Derreberry is Physical Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 225200000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790810406 to Maxine A Derreberry?
The Centers for Medicare & Medicaid Services originally issued the 1790810406 to Maxine A Derreberry on 2007-02-22.
When was the information related to Maxine A Derreberry most recently updated or refreshed?
The details pertaining to the Maxine A Derreberry, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.
NPI Number: 1124025044
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