Individual provider · NPI-1

Jane Backoff Derringer

Developmental Therapist · Plantation, FL

NPI number1265835409
StatusActive
Last updated in NPPESOct 2, 2014

Details

NPI
1265835409
Entity type
Individual (NPI-1)
Name
Ms. Jane Backoff Derringer
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 2, 2014
Last updated
Oct 2, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

10901 Nw 11th Ct
Plantation, FL 33322-7829

Phone 954-328-2208 · Fax 754-321-7219

Mailing address

10901 Nw 11th Ct
Plantation, FL 33322-7829

Phone 954-328-2208 · Fax 754-321-7219

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