Lucille R Derose, PTA
Physical Therapy Assistant in Haverford, Pennsylvania
1912025826- Practice location
- 551 W Lancaster Ave, Haverford, PA 19041-1419
- Phone
- 180-055-0921
- Fax
- —
- Last updated
- September 10, 2008
Lucille Renee Derose is a Physical Therapy Assistant based in Haverford, PA. Lucille Renee Derose practices in Haverford, PA and has the professional credentials of PTA. The NPI Number for Lucille Renee Derose is 1912025826 and holds a License No. 40QB00091900 (NJ). The current practice location address for Lucille Renee Derose is 551 W Lancaster Ave, Haverford, PA 19041-1419 and can be reached out via phone at 180-055-0921.
Provider Profile Details
- NPI Number
- 1912025826
- Provider Name
- Lucille Renee Derose
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 551 W Lancaster Ave, Haverford, PA 19041-1419
- Phone Number
- 180-055-0921
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 27, 2007
- Last Update Date
- September 10, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 551 W Lancaster Ave
Haverford, PA 19041-1419 - City
- Haverford
- State
- Pennsylvania
- Zip
- 19041-1419
- Phone Number
- 180-055-0921
Provider Business Mailing Address Details
- Address
- 1228 Columbia Ave
Newfield, NJ 08344-9605 - City
- Newfield
- State
- NJ
- Zip
- 08344-9605
- Phone Number
- 856-692-2349
License Information
- License Number
- 40QB00091900
- License State
- NJ
- Taxonomy
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lucille R Derose, PTA?
The NPI number of Lucille R Derose, PTA is 1912025826. It was assigned on March 27, 2007 and is currently active in the NPPES registry.
What is the specialty of Lucille R Derose, PTA?
Lucille R Derose, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00091900.
Where does Lucille R Derose, PTA practice?
The practice location is 551 W Lancaster Ave, Haverford, PA 19041-1419. The office can be reached at 180-055-0921 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912025826 directly on the NPPES registry website.