Individual
MR. DEREK ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
18812 FREMONT TRL, WARRENTON, MO 63383-2619
(636) 322-4619
(636) 322-4619
Mailing address
18812 FREMONT TRL, WARRENTON, MO 63383-2619
(636) 322-4619
(636) 322-4619
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2017024750
MO
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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