person
Mr. Derek Lane Householder, OTRL
Hand Occupational Therapist in San Diego, California
NPI 1700082955

Derek Lane Householder is a Hand Occupational Therapist based in La Mesa, CA and is specialized in Hand. Derek Lane Householder practices in San Diego, CA and has the professional credentials of OTRL. The NPI Number for Derek Lane Householder is 1700082955 and holds a License No. 1031031 (California).

The current practice location address for Derek Lane Householder is 4650 Palm Ave, San Diego, CA and can be reached out via phone at 619-662-6935.

Location: 4650 Palm Ave, San Diego, CA, 91941-7848
person
Provider Profile Details
NPI Number
1700082955
Provider Name
Derek Lane Householder
Credential
OTRL
Provider Entity Type
Individual
Gender
Male
Address
4650 Palm Ave, San Diego, CA, 91941-7848
Phone Number
619-662-6935
Fax Number
Provider Enumeration Date
06/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4650 Palm Ave
City
State
Zip
92154-8404
Phone Number
619-662-6935
Fax Number
person
Provider Business Mailing Address Details
Address
4650 Palm Ave
City
State
Zip
92154-8404
Phone Number
619-662-6935
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Occupational Therapist
Speciality
Hand
Taxonomy
License No.
1031031 (California)
Definition
Definition to come...
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