Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL DEROSE, COTA/L
Active Sole ProprietorMICHAEL DEROSE, COTA/L is a Occupational Therapy Assistant healthcare provider located in NEWPORT BEACH, California. NPI 1417581646 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · NEWPORT BEACH, CA
Registration Details
- NPI Number
- 1417581646
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2020 (6.5040180883875 yrs)
- Last Updated
- Feb 26, 2020
- License
-
5078 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1200 QUAIL ST STE 100NEWPORT BEACH, CA, 926602706Browse CA providers · Browse ZIP 92660
- Phone
- 9494751002
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in NEWPORT BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER LYNN MOORE | COTA | 1992964639 |
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.