Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DEREK DEROSE
Active Sole ProprietorOccupational Therapist · CHINA, ME
Registration Details
- NPI Number
- 1912320011
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2014 (12.267856740197 yrs)
- Last Updated
- Jan 24, 2014
- License
-
4186 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
680 PLEASANT VIEW RIDGE RDCHINA, ME, 043584420Browse ME providers · Browse ZIP 04358
- Phone
- 2076206544
- Primary Specialty
-
Occupational Therapist
225X00000X
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.