Individual provider · Type 1 NPI

Kristen Danielle Derouen, MOT

Occupational Therapist · St. Augustine, UM

NPI number 1609138262 Active

Practice location

161 Marine Street, Suite A
St. Augustine, UM 32084

Mailing address

274 Golden Lake Loop
St. Augustine, FL 32084-5855

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X15224 (FL)

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…

About NPI 1609138262

Kristen Danielle Derouen, MOT's National Provider Identifier is 1609138262, issued on Jun 11, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in St. Augustine, UM. The record was last updated on Jun 11, 2012.