Individual
DERIAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 TORBAY DR, ORANGE PARK, FL 32073-4278
(304) 521-5113
Mailing address
2325 TORBAY DR, ORANGE PARK, FL 32073-4278
(304) 521-5113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 15589
FL
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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