SearchWisconsin225100000X

Amanda Derose, MCEP, DPT

NPI 1568800241 · on the registry since 2013

Practice

Address
3506 Washington Rd
Kenosha, WI 53144
Phone
(262) 653-3800
Organisation at this address
Patti Mahlandtbutts
Brookside Care Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-06-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin