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1821406166
DERRICK PEASE
LOUISVILLE, KY
NPI
1821406166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH 09562)
Enumeration Date
2014-07-30
Last Update Date
2014-07-30
Business Address
-- DERRICK PEASE
303 N HURSTBOURNE PKWY SUITE 200
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
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Mailing Address
-- DERRICK PEASE
12904 ROAD 114
PAULDING, OH 45879-9439
Phone number: 419-796-8697
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