Individual
MS. SANDRA DEROSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8417 OLD COUNTY ROAD 54, NEW PORT RICHEY, FL 34653-6418
(727) 376-1585
Mailing address
11012 CASA GRANDE CIR, SPRING HILL, FL 34608-8404
(352) 428-0234
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3981
FL
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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