Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Derek Lane Householder, OTRL

Individual provider Hand Occupational Therapist · NPI 1700082955

Mr. Derek Lane Householder, OTRL is a Hand Occupational Therapist in San Diego, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

4650 Palm Ave
San Diego, CA 92154-8404
Phone: (619) 662-6935
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hand Occupational Therapist (primary) Taxonomy 225XH1200X · Licence 1031031 (CA)

Record details

NPI number1700082955
Entity typeIndividual (Type 1)
GenderMale
Credentials OTRL
Sole proprietorNo
NPI enumeratedJune 25, 2007
Last updated in NPPESJuly 8, 2007

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