Individual
MR. DEREK ANTHONY DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13950 BRANDYWINE RD, BRANDYWINE, MD 20613-5815
(301) 782-2250
Mailing address
1603 CLARION TER, FORT WASHINGTON, MD 20744-2819
(301) 752-1809
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119007931
VA
225X00000X
Occupational Therapist
Primary
08644
MD
Other
Enumeration date
11/13/2018
Last updated
08/07/2020
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