Individual provider · Type 1 NPI

Madison Elizabeth Derouin, MS, OTR/L

Occupational Therapist · Watertown, NY

NPI number 1063394443 Active

Practice location

420 Gaffney Dr
Watertown, NY 13601-1823

Call (315) 788-2730 Map

Mailing address

15800 Military Rd
Sackets Harbor, NY 13685-3110

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X030361 (NY)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1063394443

Madison Elizabeth Derouin, MS, OTR/L's National Provider Identifier is 1063394443, issued on Jul 24, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Watertown, NY. The record was last updated on Jul 24, 2025.