Individual
AMY DEROSA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1643 LANCASTER DR, SUITE 100, GRAPEVINE, TX 76051-3593
(817) 424-4180
(817) 329-2685
Mailing address
2208 BECKET DR, FLOWER MOUND, TX 75028-2685
(972) 539-8514
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108891
TX
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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