DEREK LANE HOUSEHOLDER

SAN DIEGO, CA
NPI1700082955
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225XH1200X Occupational Therapist, Hand
(Licence: CA  1031031)
Enumeration Date2007-06-25
Last Update Date2007-07-08
Business Address
Mr. DEREK LANE HOUSEHOLDER otrl
4650 PALM AVE
SAN DIEGO, CA 92154-8404
Phone number: 619-662-6935
Mailing Address
Mr. DEREK LANE HOUSEHOLDER otrl
4355 VALLE DR
LA MESA, CA 91941-7848
Phone number: 619-460-6906
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