Individual
DERRICK LEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OCCUPATIONAL THERAPI
Contact information
Practice address
139 FRANCISCO DR, SOUTH SAN FRANCISCO, CA 94080-5931
(415) 269-5933
Mailing address
139 FRANCISCO DR, SOUTH SAN FRANCISCO, CA 94080-5931
(415) 269-5933
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
12727
CA
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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