Individual provider · Type 1 NPI

Brailey London Derreberry, PTA

Physical Therapy Assistant · Mills River, NC

NPI number 1912334160 Active

Practice location

4687 Boylston Hwy
Mills River, NC 28759-6731

Mailing address

2 Flycatcher Way, Apartment # 203
Arden, NC 28704-9632

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5178 (NC)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1912334160

Brailey London Derreberry, PTA's National Provider Identifier is 1912334160, issued on Oct 2, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mills River, NC. The record was last updated on Oct 2, 2013.