Individual
ELIZABETH CHRISTINE DEROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
90 OAK ST, PRAIRIE DU SAC, WI 53578-1554
(608) 643-7145
Mailing address
90 OAK ST, PRAIRIE DU SAC, WI 53578-1554
(608) 643-7145
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7207-26
WI
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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