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Organization
MS. ROSE'S THERAPLACE
Active
Organization
MS. ROSE'S THERAPLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM AHMED (CFO)
(916) 273-3389
Entity
Organization
Contact information
Practice address
4035 CUYAMACA CIR, RANCHO CORDOVA, CA 95742-7716
(916) 273-3389
Mailing address
4035 CUYAMACA CIR, RANCHO CORDOVA, CA 95742-7716
(917) 628-4519
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/28/2018
Last updated
01/28/2018
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