Laurin Derrick
Individual provider Active NPI Occupational Therapist · Heathrow, FL
NPI 1306016597 · NPPES record last updated Mar 4, 2008
Key facts
- NPI
- 1306016597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 4044 (AZ)
- Practice address
- 1485 International Parkway
Suite #2051
Heathrow, FL 32746 - Phone
- (800) 798-6035
- NPI assigned
- Mar 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4044 | AZ | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Voyage Staffing | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4044 | AZ | Yes |
Addresses
Primary practice location
1485 International Parkway
Suite #2051
Heathrow, FL 32746
Mailing address
1485 International Parkway
Suite #2051
Heathrow, FL 32746
Phone (800) 798-6035
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4044 | Other | AZ | AZ LICENSE # |
Other providers in Heathrow, FL
- John Dambrauskas
- Kathryn Marie Daniel
- Annette Dantzler
- Steve Davis
- Dental Associates of Heathrow, LLC
- Kelli Dimond
- Colleen Donnelly
- Darrin Patrick Downing
- Latanya Earnest
- Sarah Eiseman
All providers in Heathrow, FL · Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.