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Contact Information

DERRICK KO, OTR/L, CO
142-60 56TH RD.
FLUSHING, NY11355
 Phone: 646-250-6429
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Orthotist

222Z00000X 55 Individual Certified Orthotist
Indicates primary specialty

NPI Profile & details for DERRICK KO · (Male)

NPI Number 1124374988
Status Active
Credentials OTR/L, CO
Entity Individual
Enumeration date 07/31/2012
Last updated 07/31/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 017182
  • NY License # CO003271
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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