Kimberly Anne Derouchie

NPI #1063775476 in Owego, New York

Provider Information

NPI Number: 1063775476
Entity Type: Individual
Name: Kimberly Anne Derouchie
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Early Intervention Provider Agency
Enumeration Date: Jun 20, 2012
Last Updated: Jun 20, 2012

Practice Location

Address: 1062 RT. 38
City: Owego
State: New York
ZIP Code: 13827
Phone: (607) 687-8610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Early Intervention Provider Agency	252Y00000X	Primary

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