Individual
DERRICK SESSOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4601 WESTRIDGE PL, TEMPLE HILLS, MD 20748-3844
(240) 723-2976
Mailing address
4601 WESTRIDGE PL, TEMPLE HILLS, MD 20748-3844
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04610
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04610
MD LICENSE#
MD
Enumeration date
03/27/2007
Last updated
07/08/2007
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