Dereck Andrew Temple

NPI #1063913077 in Grayling, Michigan

Provider Information

NPI Number: 1063913077
Entity Type: Individual
Name: Dereck Andrew Temple
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Feb 25, 2018
Last Updated: Feb 25, 2018

Practice Location

Address: 1100 E MICHIGAN AVE
City: Grayling
State: Michigan
ZIP Code: 49738-1312
Phone: (989) 348-0864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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