Individual
ELIZABETH DERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10425 OAKSIDE DR, NORTH CHESTERFIELD, VA 23237-3983
(804) 385-9032
Mailing address
10425 OAKSIDE DR, NORTH CHESTERFIELD, VA 23237
(804) 385-9032
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001454
VA
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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