Individual
DEREK SOMERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
318 VALLEY PARK S, BETHLEHEM, PA 18018-1358
(832) 244-7575
Mailing address
318 VALLEY PARK S, BETHLEHEM, PA 18018-1358
(832) 244-7575
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OP006867
PA
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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