Amanda Marjorie Derby, PT, DPT Valid NPI

Individual provider · Physical Therapist · Loganville, GA

NPI

1609711357

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

PT018233 (GA)

Sex

Female

Sole proprietor

No

Enumerated

2026-04-20

Last updated

2026-04-20