Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK WIDENER, PTA
ActiveDEREK WIDENER, PTA is a Occupational Therapist healthcare provider located in SANTA ROSA, California. NPI 1154691624 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · SANTA ROSA, CA
Registration Details
- NPI Number
- 1154691624
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 30, 2011 (14.587113515739 yrs)
- Last Updated
- Dec 30, 2011
- License
-
6568 (CA)
Practice Information
- Address
-
1221 N DUTTON AVESANTA ROSA, CA, 954014607Browse CA providers · Browse ZIP 95401
- Phone
- 7075438360
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| CORINNE TERESA WILLIAMS | A.T. | 1619953841 |
| MRS. DIANE PEARL CUMMINGS | PHYSICAL THERAPY AS | 1841312170 |
| MS. PATRICIA JEAN BOYLE | PTA | 1790979714 |
| MR. NATHAN BURNETT | PTA | 1306156559 |
| MR. KURT EUGENE GREGORY | P.T.A. | 1376820001 |
| LACEY VOGEL | PTA | 1285069443 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.