MR. Derek Derose

NPI #1912320011 in China, Maine

Provider Information

NPI Number: 1912320011
Entity Type: Individual
Name: MR. Derek Derose
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Jan 24, 2014
Last Updated: Jan 24, 2014

Practice Location

Address: 680 PLEASANT VIEW RIDGE RD
City: China
State: Maine
ZIP Code: 04358-4420
Phone: (207) 620-6544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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