National Provider Identifier
Michelle C Derue, OTD
Michelle C Derue, OTD is listed in the NPPES registry with a primary specialty of Occupational Therapist in Rochester, NY and a listed phone number of (585) 865-0680.
Profile Overview
- NPI
- 1376360685
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- September 26, 2024
- Last Updated
- September 26, 2024
Practice Location
- 1000 Providence Cir
- Rochester, NY 14616-4349
Phone: (585) 865-0680
Mailing Address
- 16 Heatherwood RD
- Fairport, NY 14450-1131
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1376360685
- Entity Type
- Individual
- Last Name
- Derue
- First Name
- Michelle
- Middle Name
- C
- Credential
- OTD
- Mailing Street Address
- 16 Heatherwood RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1131
- Mailing Country
- US
- Mailing Phone
- (585) 975-9729
- Practice Street Address
- 1000 Providence Cir
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14616-4349
- Practice Country
- US
- Practice Phone
- (585) 865-0680
- Enumeration Date
- September 26, 2024
- Last Updated
- September 26, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 26, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)