MICHELLE DEROUSO

LAKE FOREST, CA
NPI1134893316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  49501)
Enumeration Date2021-08-02
Last Update Date2021-08-02
Business Address
MICHELLE DEROUSO PTA
26342 FOREST RIDGE DR UNIT 5C
LAKE FOREST, CA 92630-7820
Phone number: 714-943-3709
Mailing Address
MICHELLE DEROUSO PTA
26342 FOREST RIDGE DR UNIT 5C
LAKE FOREST, CA 92630-7820
Phone number: 714-943-3709
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