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

DERRICK BANE

Active Sole Proprietor

DERRICK BANE is a Occupational Therapy Assistant healthcare provider located in ROSEVILLE, California. NPI 1972979003 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · ROSEVILLE, CA

Registration Details

NPI Number
1972979003
Provider Type
Individual
Gender
Male
NPI Issued
Aug 12, 2015 (11.010943055998 yrs)
Last Updated
May 7, 2025
Sole Proprietor
Yes

Practice Information

Address
406 SUNRISE AVE STE 300
ROSEVILLE, CA, 956614144
Browse CA providers · Browse ZIP 95661
Phone
9167835207
Primary Specialty
Occupational Therapy Assistant
225400000X
Additional Specialty
Case Manager
Additional Specialty
Community Health Worker
Additional Specialty
Day Training/Habilitation

Other Occupational Therapy Assistant Providers in ROSEVILLE, CA

Name Credential NPI
MICHAEL KEVIN KNIGHT 1821215377
MRS. SUSAN KATHLEEN SMITH 1326245143
SUSAN Y SAEPHAN PSY.D. 1861690588
JOANNE MARIE EVANS 1972702397
RUDY MARTINEZ III 1861808545
AUTUMN BRIGHTBILL FARIS MSW 1487011961
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.