# DERRICK A. TOWNSEND

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366699316
- **Gender:** Man
- **Credential:** O.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OTT.200258 | LA | Yes |

## Other

- **Enumeration date:** 08/21/2008
- **Last updated:** 08/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | OTT.200258 | STATE LICENSE | LA |