Jeremy Derheim, MA OTR/L

NPI #1922518885 in Anoka, Minnesota

Provider Information

NPI Number: 1922518885
Entity Type: Individual
Name: Jeremy Derheim, MA OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MA OTR/L
Enumeration Date: Oct 5, 2017
Last Updated: Oct 5, 2017

Practice Location

Address: 2829 VERNDALE AVE
City: Anoka
State: Minnesota
ZIP Code: 55303
Phone: (763) 231-2590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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