Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILL AMANDA DERUMS, P.T., D.P.T.
Active Sole ProprietorJILL AMANDA DERUMS, P.T., D.P.T. is a Physical Therapy Assistant healthcare provider located in PINE MOUNTAIN VALLEY, Georgia. NPI 1417277989 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PINE MOUNTAIN VALLEY, GA
Registration Details
- NPI Number
- 1417277989
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2010 (16.197853272789 yrs)
- Last Updated
- Jun 26, 2012
- License
-
006875 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
217 K STREETPINE MOUNTAIN VALLEY, GA, 318230141Browse GA providers · Browse ZIP 31823
- Phone
- 7064579542
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.