DERRICK PEASE

LOUISVILLE, KY
NPI1821406166
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OH  09562)
Enumeration Date2014-07-30
Last Update Date2014-07-30
Business Address
-- DERRICK PEASE
303 N HURSTBOURNE PKWY SUITE 200
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
Mailing Address
-- DERRICK PEASE
12904 ROAD 114
PAULDING, OH 45879-9439
Phone number: 419-796-8697