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1275992117
DEREK OVER
CARLISLE, PA
NPI
1275992117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: PA TEI002990)
Enumeration Date
2016-02-21
Last Update Date
2016-02-21
Business Address
DEREK OVER
1 LONGSDORF WAY
CARLISLE, PA 17015-7623
Phone number: 717-245-9941
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Mailing Address
DEREK OVER
7 SUSSEX DR
CARLISLE, PA 17013-4800
Phone number: 717-386-9328
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