Mr. Derek Derose
Mr. Derek Derose is an Occupational Therapist in China, Maine. Practices as a sole proprietor. Licensed in Connecticut.
- Licensed in
- CT
- In the registry since
- 2014
Practice location Address checks out
680 Pleasant View Ridge RdChina, ME 04358-4420
Phone: (207) 620-6544
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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 4186 (CT) |
|---|
Record details
| NPI number | 1912320011 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 24, 2014 |
| Last updated in NPPES | January 24, 2014 |
| Mailing address | 680 Pleasant View Ridge Rd, China, ME 04358-4420 |