Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DEREK THOMAS EDLIN, COTA
ActiveMR. DEREK THOMAS EDLIN, COTA is a Occupational Therapy Assistant healthcare provider located in BRANDENBURG, Kentucky. NPI 1619174729 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · BRANDENBURG, KY
Registration Details
- NPI Number
- 1619174729
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2007 (19.119028175423 yrs)
- Last Updated
- Jul 8, 2007
- License
-
A3750 (KY)
Practice Information
- Address
-
814 OLD EKRON RDBRANDENBURG, KY, 401081149Browse KY providers · Browse ZIP 40108
- Phone
- 2704222148
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.