Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE DEROUSO, PTA
Active Sole ProprietorMICHELLE DEROUSO, PTA is a Occupational Therapist healthcare provider located in LAKE FOREST, California. NPI 1134893316 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LAKE FOREST, CA
Registration Details
- NPI Number
- 1134893316
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 2, 2021 (5.1114557215783 yrs)
- Last Updated
- Aug 2, 2021
- License
-
49501 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
26342 FOREST RIDGE DR UNIT 5CLAKE FOREST, CA, 926307820Browse CA providers · Browse ZIP 92630
- Phone
- 7149433709
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in LAKE FOREST, CA
| Name | Credential | NPI |
|---|---|---|
| TRICIA SHELTON | P.T.A | 1023028594 |
| MR. STEPHEN W BARSAMIAN | — | 1801184569 |
| BRITTANY LEONG | PTA | 1578986311 |
| TODD VAN ETTEN | — | 1033500178 |
| MISS ALYSSA MARIE EASTLAND | P.T.A | 1619360336 |
| MISS GABRIELLE MELISSA LOVATO | PTA | 1508373747 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.