DEREK MERRIMAN

RIDGELAND, MS
NPI1619134459
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA3824)
Enumeration Date2008-05-20
Last Update Date2008-05-20
Business Address
-- DEREK MERRIMAN PTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
-- DEREK MERRIMAN PTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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