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Derek B Charles, D.P.T.

Physical Therapist in Mt Juliet, TN. Individual provider (NPI-1).

NPI number1619084571
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1619084571
Entity type
Individual (NPI-1)
Name
Derek B Charles
Credential
D.P.T.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 24, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist7419TNYes

Practice location

5002 Crossings Cir
Mt Juliet, TN 37122-8419

Phone 615-553-5500 · Fax 615-758-3875

Mailing address

5002 Crossings Cir
Mt Juliet, TN 37122-8419

Phone 615-553-5500 · Fax 615-758-3875

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