Dereck Fitzgerald Chavis

NPI #1932676525 in Rockford, Michigan

Provider Information

NPI Number: 1932676525
Entity Type: Individual
Name: Dereck Fitzgerald Chavis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Nov 1, 2018
Last Updated: Nov 1, 2018

Practice Location

Address: 521 E DIVISION ST
City: Rockford
State: Michigan
ZIP Code: 49341-1376
Phone: (616) 866-6859

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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