Individual
SARAH P DEROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9255 N 76TH ST, MILWAUKEE, WI 53223-1058
(414) 357-5105
Mailing address
6060 S CROSSWINDS DR UNIT 1, CUDAHY, WI 53110-3416
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5814-27
WI
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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