Gregory James Deramus, PTA Valid NPI

Individual provider · Physical Therapy Assistant · Forest, VA

NPI

1396111506

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

2306602481 (VA)

Sex

Male

Sole proprietor

No

Enumerated

2015-08-12

Last updated

2015-08-12