Provider Demographics
NPI:1326017914
Name:SESSIONS, DEREK ALLEN (MSR, PT)
Entity Type:Individual
Prefix:MR
First Name:DEREK
Middle Name:ALLEN
Last Name:SESSIONS
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Gender:M
Credentials:MSR, PT
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Mailing Address - Street 1:4600 GOER DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-6500
Mailing Address - Country:US
Mailing Address - Phone:843-744-5527
Mailing Address - Fax:843-746-9246
Practice Address - Street 1:4600 GOER DR
Practice Address - Street 2:SUITE 205
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-6500
Practice Address - Country:US
Practice Address - Phone:843-744-5527
Practice Address - Fax:843-746-9246
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2013-05-17
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Provider Licenses
StateLicense IDTaxonomies
SC4091225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q350719189Medicare PIN