# ERIC DEAN DESETH

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

## Provider details

- **NPI number:** 1801816640
- **Gender:** Man
- **Credential:** OT/RL

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OTP-OT-LIC-478 | MT | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 05/06/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1801816640 | — | MT |
| 01 | — | 1841474087 | RAILROAD MEDICARE | MT |