Individual provider · Type 1 NPI

Jacqueline Derose

Rehabilitation Practitioner · East Lansing, MI

NPI number 1194189977 Active

Practice location

2775 E Lansing Dr
East Lansing, MI 48823-7755

Call (517) 332-1616 Map

Fax (517) 332-1538

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1194189977

Jacqueline Derose's National Provider Identifier is 1194189977, issued on Apr 7, 2016. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in East Lansing, MI. The record was last updated on Apr 7, 2016.