Vicky L. Derderian, LPTA

Physical Therapy Assistant · Hamilton, OH

Individual Active NPI

NPI number 1104047778

Practice location

855 Stahlheber Rd
Hamilton, OH 45013-1963
Phone
(513) 844-8004

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NPI record

NPI
1104047778
Entity type
Individual (Type 1)
Enumeration date
May 1, 2007
Last updated
September 11, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA-1103 OH

Mailing address

3923 Hickory View Dr.
Hamilton, OH 45011
Phone
(513) 895-3229

About Vicky Derderian

Vicky L. Derderian, LPTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 855 Stahlheber Rd, Hamilton, OH 45013-1963. The NPI number 1104047778 was assigned on May 1, 2007 and the record was last updated on September 11, 2008.

Vicky Derderian lists a license in the registry: #PTA-1103 (OH) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Vicky L. Derderian, LPTA?

The NPI number is 1104047778.

What is the phone number of Vicky Derderian?

The phone number listed for the practice location is (513) 844-8004.

Where is Vicky Derderian located?

855 Stahlheber Rd, Hamilton, OH 45013-1963.

What is the taxonomy code for Vicky Derderian?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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