Individual
DERECK ANDREW TEMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 E MICHIGAN AVE, GRAYLING, MI 49738-1312
(989) 348-0864
Mailing address
1203 MANITOU DR APT 904, TRAVERSE CITY, MI 49686-5154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/25/2018
Last updated
02/25/2018
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