Individual provider · Type 1 NPI

Ingrid Suzanne Derstine, OTD, ORT/L

Occupational Therapist · Midlothian, VA

NPI number 1962052506 Active

Practice location

14366 Sommerville Ct
Midlothian, VA 23113-6838

Call (631) 580-5200 Map

Fax (631) 580-5222

Mailing address

1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X0119008264 (VA)

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 1962052506

Ingrid Suzanne Derstine, OTD, ORT/L's National Provider Identifier is 1962052506, issued on Sep 16, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Midlothian, VA. The record was last updated on Sep 16, 2019.