Karen Derickson

NPI 1730336462 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1730336462
Gender Female
Enumeration Date 08/25/2008
Last Updated 08/25/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
6006 BRANDY CHASE CV
FORT WAYNE IN, 46815-7601, US
Phone (260) 486-3001
Fax
Business Location
3113 STINSON DR
FORT WAYNE IN, 46816-2130, US
Phone
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Indiana
License Number 32001472A
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According to our database, Karen Derickson NPI is 1730336462, taxonomy code is 224Z00000X and license number is 32001472A, license state is located at Indiana. Karen Derickson physically located at 6006 Brandy Chase Cv, Fort Wayne IN, 46815-7601. NPI Number Karen Derickson has the Individual type.

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1730336462 NPI number is provided on an as is basis without warranty of any kind. 1730336462 is maintained by the National Plan & Provider Enumeration System. The contents of Karen Derickson are for informational purposes only.