IndividualActive
Derek Somerville, COTA
NPI 1497076384 · Contractor · Bethlehem, PA
Provider details
- NPI number
- 1497076384
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- OP006867 (PA)
Mailing address
318 Valley Park S
Bethlehem, PA 18018-1358
Registry dates
- Enumerated
- 2010-06-15
- Last updated
- 2010-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.