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

Sidney Deatherage

Individual provider Occupational Therapy Assistant · NPI 1740993807

Sidney Deatherage is an Occupational Therapy Assistant in Palm Desert, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

77564 Country Club Dr Ste 401B
Palm Desert, CA 92211-6246
Phone: (760) 772-2838
Fax: (760) 772-2883
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 6302 (CA)

Record details

NPI number1740993807
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 3, 2023
Last updated in NPPESJanuary 3, 2023
Certification dateJanuary 3, 2023
Mailing address77564 Country Club Dr Ste 401b, Palm Desert, CA 92211-6246

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