Individual
DERRICK WEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
DIABLO VALLEY POST ACUTE, 3806 CLAYTON ROAD, CONCORD, CA 94521
(971) 206-5140
Mailing address
3 FORTUNE RD W APT 3G, MIDDLETOWN, NY 10941-1685
(845) 421-2352
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT23591
CA
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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