Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Ann Derouin, MOT, OTR/L, CLT

Individual provider Occupational Therapist · NPI 1750098216

Carly Ann Derouin, MOT, OTR/L, CLT is an Occupational Therapist in Litchfield, Minnesota. Licensed in Minnesota and North Dakota. Registered with an NPI since 2022.

Licensed in
MN, ND
In the registry since
2022
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

612 S Sibley Ave
Litchfield, MN 55355-3340
Phone: (206) 934-5283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 106676 (MN)
Occupational Therapist Taxonomy 225X00000X · Licence 1905 (ND)

Record details

NPI number1750098216
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT , OTR/L , CLT
Sole proprietorNo
NPI enumeratedNovember 3, 2022
Last updated in NPPESNovember 22, 2023
Certification dateNovember 22, 2023

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