MR. DEREK LANE HOUSEHOLDER OTRL NPI 1700082955

NPI Information

NPI: 1700082955
Provider Name: MR. DEREK LANE HOUSEHOLDER, OTRL
Classification: Occupational Therapist - 225XH1200X
Entity Type: Individual

Specialization: Hand

Address:
4650 PALM AVE
SAN DIEGO, CA
ZIP 92154
Phone: (619) 662-6935
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MR. Derek Lane Householder, OTRL is a hand occupational therapist in San Diego, CA. MR. Derek Lane Householder, OTRL NPI is 1700082955. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4650 PALM AVE
SAN DIEGO, CA
ZIP 92154-404
Phone: (619) 662-6935

The enumeration date for this NPI number is 6/25/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225XH1200X	Occupational Therapist	Hand	1031031	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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