Derek Lane Householder in San Diego - Hand

Derek Lane Householder - NPI 1700082955

Derek Lane Householder is a Hand in San Diego, California. Derek Lane Householder practices all healthcare services and medical treatments related to Hand. The NPI Number for Derek Lane Householder is 1700082955. The last update date is 2007-07-08.

Derek Lane Householder's current location address is 4650 Palm Ave, San Diego, California. You can contact this provider via phone number 6196626935. The mailing address for Derek Lane Householder is 4650 Palm Ave, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Derek Lane Householder
Address 4650 Palm Ave, San Diego, California
Phone Number 6196626935
Fax Number
Sole Proprietor N
Credentials OTRL

NPI Number Detail

NPI Number 1700082955
Provider Enumeration Date 2007-06-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4650 Palm Ave
City San Diego
State California (CA)
Post Code 921548404
Phone Number 6196626935
Fax Number

Provider's Primary Taxonomy Detail

Speciality Hand
Taxonomy 225Xh1200X
Licence No 1031031
Definition:
An occupational therapist who specializes in treating hand, wrist and forearm injuries or impairments to help regain function and dexterity.

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FAQs about Derek Lane Householder

What is the unique provider identifier assigned to Derek Lane Householder?

The Derek Lane Householder has been issued the NPI (National Provider Identifier) 1700082955 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Derek Lane Householder is located?

The Derek Lane Householder is situated at the following address: 4650 Palm Ave, San Diego, CA, 921548404.

What is the area of specialization for Derek Lane Householder, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Derek Lane Householder is Hand, and the corresponding taxonomy code that categorizes this area of expertise is 225Xh1200X.

On what date did Derek Lane Householder receive its 1700082955 assignment from the Centers for Medicare & Medicaid Services?

The Derek Lane Householder was assigned its 1700082955 on 2007-06-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Derek Lane Householder most recently updated?

The details pertaining to the Derek Lane Householder, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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