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Contact Information

MARK T DERREVERE
LONE TREE MEDICAL CENTER
9548 PARK MEADOWS DRIVE
LONE TREE, CO80124
 Phone: 720-281-8114
 Fax: 720-553-0901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Hand

225XH1200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARK T DERREVERE · (Male)

NPI Number 1811591290
Status Active
Credentials
Entity Individual
Enumeration date 11/25/2020
Last updated 12/08/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CO License # OT.0001549
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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