Derouso, Michelle

Derouso, Michelle is an sole proprietor health care provider with primary practice located at 26342 Forest Ridge Dr Unit 5C , Lake Forest CA 92630-7820. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Derouso, Michelle can be contacted via phone (714) 943-3709.

Contact Information

Primary practice address
26342 Forest Ridge Dr Unit 5C Lake Forest CA 92630-7820
Phone: (714) 943-3709
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 49501 California

Profile Details

NPI number 1134893316
LBN Legal business name Derouso, Michelle
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2021
Last updated Aug 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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