IndividualActive
Amanda Derouchie, PTA
NPI 1346408895 · Physical Therapy Assistant · Watertown, NY
Provider details
- NPI number
- 1346408895
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 005342 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
830 Washington St
Watertown, NY 13601-4034
Phone: (315) 785-4088
Approximate (ZIP-level) locationGet directions
Mailing address
830 Washington St
Watertown, NY 13601-4034
Registry dates
- Enumerated
- 2008-05-30
- Last updated
- 2008-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.