NPI 1811663156

Derek Jerred Kent, COTAL

Practitioner Occupational Therapy Assistant Sierra Vista, AZ

Practice location

Address: 3305 E Fry Blvd, Sierra Vista, AZ 85635-2990
Phone: (520) 515-2754
Mailing address: 600 Charles Dr APT 232, Sierra Vista, AZ 85635-1193

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-046990 (AZ)

Other Occupational Therapy Assistant providers in Arizona →

Registry record

NPI: 1811663156
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Aug 2021
Record last updated: 17 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.