Individual provider · Type 1 NPI

Biancah Alexandra Derival, OTD, OTR/L

Occupational Therapist · Port St. Lucie, FL

NPI number 1174420392 Active

Practice location

1860 SW Fountainview Blvd Ste 100-2003
Port St. Lucie, FL 34986-4535

Mailing address

4639 Jetty St
Orlando, FL 32817-3182

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT26095 (FL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1174420392

Biancah Alexandra Derival, OTD, OTR/L's National Provider Identifier is 1174420392, issued on Oct 21, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Oct 21, 2026.