-- HOLLY A DEROUCHEY -- PT
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1811200793- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PT
- Status
- Active
Contact & Location
- Address
- 3111 124TH AVE NW SUITE 200, COON RAPIDS, MN, 554334572
- Phone
- (763) 427-7300
- Fax
- (763) 427-2802
Specialties & Taxonomies
Physical Medicine & Rehabilitation
Primary License: MN #8516