Individual
MR. KERRY DEERING
Active
Individual
MR. KERRY DEERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0104
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
547096001
DMERC
AZ
05
—
77094
—
AZ
01
—
AZ0292050
BCBS AZ
AZ
Enumeration date
09/14/2006
Last updated
12/27/2013
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