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Contact Information

LAURIN DERRICK
1485 INTERNATIONAL PARKWAY
SUITE #2051
HEATHROW, FL32746
 Phone: 800-798-6035
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LAURIN DERRICK · (Female)

NPI Number 1306016597
Status Active
Credentials
Entity Individual
Enumeration date 03/04/2008
Last updated 03/04/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 4044
  • AZ Other 4044 AZ LICENSE #
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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