Individual
MICHELLE SHARON DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
16746 N 111TH ST, SCOTTSDALE, AZ 85255-2420
(847) 226-0534
Mailing address
16746 N 111TH ST, SCOTTSDALE, AZ 85255-2420
(847) 226-0534
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTH-007630
AZ
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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