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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIRK LEWIS DEITRICK

Active

KIRK LEWIS DEITRICK is a Occupational Therapist healthcare provider located in ANAHEIM, California. NPI 1922519883 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · ANAHEIM, CA

Registration Details

NPI Number
1922519883
Provider Type
Individual
Gender
Male
NPI Issued
Oct 18, 2017 (8.6388379043001 yrs)
Last Updated
Oct 18, 2017
License
48943 (CA)

Practice Information

Address
215 N STATE COLLEGE BLVD STE G
ANAHEIM, CA, 928062932
Browse CA providers · Browse ZIP 92806
Phone
7149996596
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in ANAHEIM, CA

Name Credential NPI
MRS. SHERRI LIANE BOWER PTA 1588744593
SEBU YARDIMIAN P.T.A. 1457475709
MRS. VICKI RENEE HAMMOND A.T.C., P.T.A 1538313606
JOSE PENA 1356587547
MICHELLE ANN BARNES PTA 1306170725
MR. RICHARD ANTHONY SLAVENTA PTA 1356645188
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.