Individual
MRS. JEANNIE MARIE ROSENBALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
201 NE PARK PLAZA DR, SUITE 246, VANCOUVER, WA 98684-5808
(800) 336-6862
Mailing address
4465 SE RICE LN, AMITY, OR 97101-2305
(503) 835-0416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
983121
OR
225X00000X
Occupational Therapist
Primary
OT00002552
WA
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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