Individual
DERRICK A ANIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2612 NORTH AVE UNIT E14, BRIDGEPORT, CT 06604-2394
(845) 405-2799
Mailing address
2612 NORTH AVE UNIT E14, BRIDGEPORT, CT 06604-2394
(845) 405-2799
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
031149
NY
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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