Individual
DERON BELLCASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 E 8TH ST SE, ROME, GA 30161-6208
(706) 513-0455
Mailing address
520 E 8TH ST SE, ROME, GA 30161-6208
(706) 513-0455
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 2519
MS
Other
Enumeration date
04/10/2011
Last updated
02/05/2020
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