Doctor Name: | DEREK B CHARLES |
NPI Number: | 1619084571 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T. |
License Number: | 7419 |
Business Practice Address: | 5002 Crossings Cir Mt Juliet, TN - 371228419 |
Business Phone Number: | 6155535500 |
Business Fax Number: | 6157583875 |
Mailing Address: | 5002 Crossings Cir, MT JULIET |
State: | TN |
Postal Code: | 371228419 |
Phone Number: | 6155535500 |
Fax Number: | 6157583875 |
NPI Enumeration Date: | 08/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 7419 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |